Percutaneous Coronary Interventions in Facilities Without Cardiac Surgery On Site: A Report From the National Cardiovascular Data Registry (NCDR)

Since the introduction of percutaneous coronary intervention (PCI) in 1977 by Andreas Gruntzig (1), the presence of cardiac surgery backup on site has been a recommended practice to treat the potential of life-threatening complications. [...]there are few large studies that have directly compared th...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2009-06, Vol.54 (1), p.16-24
Main Authors: Kutcher, Michael A., MD, Klein, Lloyd W., MD, Ou, Fang-Shu, MS, Wharton, Thomas P., MD, Dehmer, Gregory J., MD, Singh, Mandeep, MD, MPH, Anderson, H. Vernon, MD, Rumsfeld, John S., MD, PhD, Weintraub, William S., MD, Shaw, Richard E., PhD, Sacrinty, Matthew T., MPH, Woodward, Albert, PhD, MBA, Peterson, Eric D., MD, MPH, Brindis, Ralph G., MD, MPH
Format: Article
Language:English
Subjects:
Aged
Angioplasty
Angioplasty, Balloon, Coronary - statistics & numerical data
Biological and medical sciences
cardiac surgery
Cardiology
Cardiology. Vascular system
Cardiovascular
Diseases of the cardiovascular system
Female
Heart attacks
Heart surgery
Hospitals
Hospitals - statistics & numerical data
Humans
Internal Medicine
Male
Medical sciences
Middle Aged
Mortality
Onsite
outcomes analysis
percutaneous coronary intervention
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Registries
Studies
Success
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Treatment Outcome
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Summary:Since the introduction of percutaneous coronary intervention (PCI) in 1977 by Andreas Gruntzig (1), the presence of cardiac surgery backup on site has been a recommended practice to treat the potential of life-threatening complications. [...]there are few large studies that have directly compared the procedural outcomes of both primary and elective PCI at facilities without cardiac surgery on site with those that have traditional surgery on site (16-18). Because of the conflicting literature on this subject, the American College of Cardiology (ACC), American Heart Association (AHA), and Society for Cardiovascular Angiography and Interventions (SCAI) 2005 PCI guidelines continue to designate primary PCI a Class IIb indication (may be considered), and elective PCI a Class III indication (not recommended) when performed at facilities without surgical backup on site (19).
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2009.03.038