Cardiac catheterization is an integral part of cardiac evaluation and brings together two disciplines: cardiac catheterization (the evaluation of cardiac function) and angiography (X-ray demonstration of cardiac anatomy). Cardiac catheterization includes various therapeutic interventions, including but not limited to: percutaneous coronary interventions (PCI), thrombolysis of coronary clots in evolving myocardial infarctions, electrical ablation of abnormal conduction pathways, and closure of patent ductus arteriosus in infants.
Any facility performing diagnostic cardiac catheterizations without open-heart surgery capability must maintain formal referral agreements with a nearby facility to provide emergency cardiac services, including open-heart surgery. Such a facility must also delineate the steps it will take to ensure that high-risk patients are not catheterized in the facility. Additionally, a facility without open-heart surgery capability must document that more complex procedures, except for percutaneous coronary interventions (PCI) as provided herein, are not performed in the facility. Such procedures include, but are not limited to: transseptal puncture, transthoracic left ventricular puncture, myocardial biopsy, trans catheter aortic valve replacement (TAVR), and left atrial occlusion devices.
Section 41-7-191(1)(d), Mississippi Code 1972, as amended, requires Certificate of Need review for the establishment and/or offering of cardiac catheterization services if the proposed provider has not offered such services on a regular basis within twelve (12) months prior to the time the services would be offered. Table 5-8 presents the utilization of cardiac catheterization services in Fiscal Years 2019 and 2020.
Table 5-8
Cardiac Catheterizations by Facility and Type by Cardiac Catheterization/Open Heart Planning Area (CC/OHSPA) FY 2019 and FY 2020
Facility | County | Total Adult Procedures | Total PTCA Procedures | ||
2019 | 2020 | 2019 | 2020 | ||
CC/ OHSPA 1 | 3,904 | 2,476 | 1,186 | 693 | |
Baptist Memorial Hospital - DeSoto1 Methodist Healthcare Olive Branch Hospital | DeSoto DeSoto | 3,517 387 | 1,928 548 | 997 189 | 379 314 |
CC/ OHSPA 2 | 5,964 | 9,770 | 192 | 759 | |
Magnolia Regional Health Center North Mississippi Medical Center | Alcorn Lee | 2,602 3,362 | 3,426 6,344 | 51 141 | 595 164 |
CC/OHSPA 3 | 667 | 570 | 94 | 64 | |
Delta Regional Medical Center Greenwood Leflore Hospital* Northwest Mississippi Medical Center* | Washington LeFlore Coahoma | 447 8 212 | 350 8 212 | 94 - - | 64 - - |
CC/OHSPA 4 | 3,351 | 3,163 | 736 | 769 | |
Baptist Memorial Hospital - Golden Triangle Baptist Memorial Hospital - N. Mississippi UMMC Grenada * | Lowndes Lafayette Grenada | 1,044 1,448 859 | 1,446 1,409 308 | 311 425 - | 429 340 - |
CC/OHSPA 5 | 12,926 | 13,797 | 2,548 | 2,637 | |
Merit Health Central Merit Health River Oaks Mississippi Baptist Medical Center1 Merit Health River Region St. Dominic - Jackson Memorial Hospital University of MS Medical Center2 | Hinds Rankin Hinds Warren Hinds Hinds | 668 186 1,506 245 7,707 2,614 | 668 27 1,394 399 8,454 2,855 | 149 - 693 - 956 750 | 149 - 686 - 965 837 |
CC/OHSPA 6 | 2,117 | 2,012 | 137 | 185 | |
Anderson Regional Medical Center1 Rush Foundation Hospital | Lauderdale Lauderdale | 1,450 667 | 1,259 753 | 81 56 | 67 118 |
CC/OHSPA 7 | 1,012 | 752 | 295 | 260 | |
SW Miss Regional Medical Center | Pike | 1,012 | 752 | 295 | 260 |
CC/OHSPA 8 | 4,956 | 4,926 | 1,496 | 1,353 | |
Forrest General Hospital1 South Central Regional Medical Center* Merit Health Wesley | Forrest Jones Lamar | 3,439 672 845 | 3,646 537 743 | 1,162 - 334 | 1,070 - 283 |
CC/OHSPA 9 | 5,184 | 5,347 | 2,694 | 2,603 | |
Merit Health Biloxi* Memorial Hospital at Gulfport1 Ocean Springs Hospital Singing River Hospital | Harrison Harrison Jackson Jackson | 15 3,050 1,317 802 | 7 3,323 1,248 769 | - 1,215 938 541 | - 1,382 798 423 |
State Total: | 40,081 | 42,813 | 9,378 | 9,323 |
* Diagnostic Catheterization Only
Source: Applications for Renewal of Hospital License for FY 2019/2020; 1 Health Planning and Resource Development Survey 2021
Note(s): 2 According to the Applications for Renewal of Hospital License, UMMC is the only pediatric cardiac catheterization provider. UMMC reported 1,208 total pediatric cardiac catheterization procedures for FY 2019 and 1,377 pediatric cardiac catheterization procedures for FY 2020.
15 Miss. Code. R. 8-90-05-514