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SCAI statement on ad hoc versus the separate performance of diagnostic cardiac catheterization and coronary intervention
Author(s) -
Blankenship James C.,
Klein Lloyd W.,
Laskey Warren K.,
Krone Ronald J.,
Dehmer Gregory J.,
Chambers Charles,
Cowley Michael
Publication year - 2004
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20229
Subject(s) - medicine , intervention (counseling) , post hoc analysis , cardiac catheterization , percutaneous coronary intervention , coronary angiography , session (web analytics) , post hoc , angioplasty , statement (logic) , cardiology , myocardial infarction , nursing , world wide web , computer science , political science , law
Coronary intervention may be combined with diagnostic cardiac catheterization or performed separately. In the early years of angioplasty, performing these procedures separately was standard practice. Gradually, ad hoc intervention (performing diagnostic angiography and coronary intervention within the same session) has become more common, largely because of its convenience for patients and efficiency for physicians. However, the safety and potential cost savings of this approach remain uncertain. Criteria for the appropriate use of ad hoc intervention have not been established. Ad hoc intervention is reasonable for many, but not appropriate for all patients and should not be considered standard therapy. This document updates an earlier review of this topic and provides suggestions for the use of ad hoc intervention as a routine strategy. Catherter Cardiovasc Interv 2004;63:444–451. © 2004 Wilney‐Liss, Inc.