A n ideal healthcare system aims to provide care that is safe, effective, efficient, equitable, timely and patientcentered. Translation of these aims into practice for patients suffering from ST-elevation myocardial infarction (STEMI) could result in an ideal primary percutaneous coronary intervention (PCI) system of care. In this ideal PCI system of care, PCI centers would be equitably distrib...

The role of percutaneous coronary interventions (PCIs) in the early hours of an ST-segment-elevation acute myocardial infarction (STEMI) can be divided into primary PCI, PCI combined with pharmacological reperfusion therapy, and ‘rescue PCI’ after failed pharmacological reperfusion. Primary PCI can be defined as coronary angioplasty/stenting without prior administration of fibrinolytic agents o...

More than 20.000 percutaneous coronary interventions (PCI) procedures are performed yearly in Belgium. The success of new coronary devices as well as the expanded indications, notably in acute coronary syndromes, suggest a continuous increase in percutaneous revascularization procedures during the following years. Consequently, this increasing need for PCI has encouraged many hospitals to have ...

Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy for the patient with STelevation myocardial infarction (STEMI) regardless of whether they present to a PCI or non–PCI-capable hospital.2,3 These recommendations, based on randomized clinical trials and subsequent meta-analysis and meta-regression of these trials,4,5 are accompanied by a caveat: PCI must be pe...

Same-day percutaneous coronary intervention (PCI) is a reality with modern interventional equipment and pharmaceutical agents. Elective PCI is rarely an inpatient procedure and is now predominantly considered an outpatient procedure. Approaches to safely manage elective patients through same-day PCI have been well described in the literature and demonstrate no safety signal compared with overni...

Physicians’ Clinic of Iowa (PCI) is a 50-physician multispecialty clinic located in Cedar Rapids, Iowa. Physician specialties include cardiac surgery, otolaryngology, general surgery, neurology, orthopedic surgery, podiatry, rheumatology, thoracic surgery, urology, and vascular surgery. PCI employs 200 staff at five sites of care. PCI physicians manage approximately 98,000 E and M encounters pe...

BACKGROUND The optimal revascularization strategy in patients with multivessel disease presenting with cardiogenic shock complicating ST-segment-elevation myocardial infarction remains unknown. METHODS AND RESULTS Databases were searched from 1999 to October 2016. Studies comparing immediate/single-stage multivessel percutaneous coronary intervention (MV-PCI) versus culprit vessel-only PCI (C...

PURPOSE Prophylactic cranial irradiation (PCI) has a well-recognized role in the treatment of leukemia and small-cell lung cancer. Clinical utility has yet to be determined for breast cancer, where an emerging group at high risk of brain metastasis has fuelled consideration of PCI. METHODS AND MATERIALS In reviewing our experience with PCI as part of a complex protocol for advanced breast can...

Background—The American College of Cardiology and the American Heart Association have issued guidelines for the use of coronary artery bypass graft surgery (CABG) and percutaneous coronary interventions (PCI) for many years, but little is known about the impact of these evidence-based guidelines on referral decisions. Methods and Results—A cardiac catheterization laboratory database used by 19 ...

BACKGROUND It is unknown whether the appropriate use of percutaneous coronary intervention (PCI) has improved over time and whether trends in PCI appropriateness have been accompanied by changes in the use of PCI. METHODS AND RESULTS We applied appropriate use criteria to determine the appropriateness of all 51 872 PCI performed in Washington State from 2010 through 2013. We evaluated the num...