A Case Against Low-Volume Percutaneous Coronary Intervention Centers
نویسندگان
چکیده
منابع مشابه
A case against low-volume percutaneous coronary intervention centers.
Since the publication of the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial1 in April 2007, percutaneous coronary intervention (PCI) has received harsh scrutiny in both the scientific and lay press.2,3 The COURAGE investigators concluded that PCI did not reduce chances of death or myocardial infarction (MI) in patients with stable coronary artery di...
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Monitoring health care and developing metrics to gauge optimum systems from suboptimum ones is a multidimensional effort that spans the spectrum of health services research and administration. The quality assessment tools for operative procedures range from policies requiring measurement of general compliance within medical society guidelines, in terms of medical indications and procedural tech...
متن کاملPercutaneous coronary intervention outcomes in a low-volume center: survival, stent thrombosis, and repeat revascularization.
BACKGROUND American College of Cardiology (ACC) guidelines state that percutaneous coronary interventions (PCI) be performed at centers and by operators with high-volume (>400 yearly/center) whose historical and current risk-adjusted outcomes statistics are comparable to those reported in large registries. Tripler Army Medical Center is a low-volume treatment facility but has a geographic need ...
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Achondroplastic individuals are associated with increased cardiac risk when compared to the general population. Coronary interventions in patients with achondroplasia have not been studied previously. We report the case of a 32-year-old male smoker with achondroplasia who presented with acute chest pain of 3 hours duration. He was diagnosed with acute inferior and right ventricular myocardial i...
متن کاملFacilitated percutaneous coronary intervention.
M ultiple, large randomised trials comparing primary percutaneous coronary intervention (PCI) with fibrinolytic therapy for ST elevation myocardial infarction (STEMI) have shown that primary PCI results in lower rates of death, reinfarction, and stroke. Consequently, primary PCI has become the preferred reperfusion strategy for STEMI. Unfortunately, primary PCI is available in only a minority o...
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ژورنال
عنوان ژورنال: Circulation
سال: 2009
ISSN: 0009-7322,1524-4539
DOI: 10.1161/circulationaha.109.885269