A new systematic review and meta-analysis by Lee and colleagues confirms the safety of nonprimary percutaneous coronary intervention (PCI) at centres without onsite surgical backup. In daily clinical practice at PCI centres without onsite surgical facilities, quality assurance and improvement programmes are important to ensure high-quality care.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Lee, J. M. et al. Percutaneous coronary intervention at centers with and without on-site surgical backup: an updated meta-analysis of 23 studies. Circulation 132, 388–401 (2015).
Kutcher, M. A. et al. Percutaneous coronary interventions in facilities without cardiac surgery on site: a report from the National Cardiovascular Data Registry (NCDR). J. Am. Coll. Cardiol. 54, 16–24 (2009).
Zia, M. I., Wijeysundera, H. C., Tu, J. V., Lee, D. S. & Ko, D. T. Percutaneous coronary intervention with vs without on-site cardiac surgery backup: a systematic review and meta-analysis. Can. J. Cardiol. 27, 664.e9–664.e16 (2011).
Levine, G. N. et al. 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation 124, e574–e651 (2011).
Dehmer, G. J. et al. SCAI/ACC/AHA expert consensus document: 2014 update on percutaneous coronary intervention without on-site surgical backup. J. Am. Coll. Cardiol. 63, 2624–2641 (2014).
Aversano, T., Lemmon, C. C. & Liu, L. Outcomes of PCI at hospitals with or without on-site cardiac surgery. N. Engl. J. Med. 366, 1792–1802 (2012).
Jacobs, A. K. et al. Nonemergency PCI at hospitals with or without on-site cardiac surgery. N. Engl. J. Med. 368, 1498–1508 (2013).
Bashore, T. M. et al. 2012 American College of Cardiology Foundation/Society for Cardiovascular Angiography and Interventions expert consensus document on cardiac catheterization laboratory standards update: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents developed in collaboration with the Society of Thoracic Surgeons and Society for Vascular Medicine. J. Am. Coll. Cardiol. 59, 2221–2305 (2012).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Shiomi, H., Kimura, T. Nonprimary PCI at centres without onsite surgical backup. Nat Rev Cardiol 12, 563–564 (2015). https://doi.org/10.1038/nrcardio.2015.131
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrcardio.2015.131