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Frequency of Percutaneous Coronary Interventions at Facilities Without On-Site Cardiac Surgical Backup—A Report from the American College of Cardiology–National Cardiovascular Data Registry (ACC-NCDR)
- Source :
-
American Journal of Cardiology . Feb2007, Vol. 99 Issue 3, p329-332. 4p. - Publication Year :
- 2007
-
Abstract
- The practice of performing percutaneous coronary intervention (PCI) in centers without on-site cardiac surgical backup is controversial. Using data from facilities that participated in the American College of Cardiology/National Cardiovascular Data Registry, the incidence of PCI without on-site surgical backup was evaluated. From January 1, 2001 through December 31, 2004, 39 of 449 (8.7%) centers were identified as sites that performed PCI without on-site surgical backup. By the end of 2005, 75 of 463 (16%) participating facilities were performing PCI without on-site backup. By using standardized data element definitions, it was possible to differentiate between patients who underwent elective PCI and those who had urgent nonelective PCI for acute ST-segment elevation myocardial infarction or non–ST-segment elevation myocardial infarction. This analysis showed that the number of elective and nonelective PCI procedures with or without on-site surgical backup per quarter had increased significantly (p <0.0001) from 2001 to 2004. The number of PCI procedures performed without on-site surgical backup continued to increase in 2005. In conclusion, the significant increase in elective PCIs performed at facilities without on-site surgical backup occurred despite national guidelines that state elective PCI should not be done in centers without on-site cardiac surgery. [Copyright &y& Elsevier]
- Subjects :
- *ANGIOPLASTY
*TRANSLUMINAL angioplasty
*MYOCARDIAL infarction
*CARDIAC surgery
Subjects
Details
- Language :
- English
- ISSN :
- 00029149
- Volume :
- 99
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- American Journal of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 23808193
- Full Text :
- https://doi.org/10.1016/j.amjcard.2006.08.033