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SCAI/ACC/AHA Expert Consensus Document
Author(s) -
Dehmer Gregory J.,
Blankenship James C.,
Cilingiroglu Mehmet,
Dwyer James G.,
Feldman Dmitriy N.,
Gardner Timothy J.,
Grines Cindy L.,
Singh Mandeep
Publication year - 2014
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.25371
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , guideline , randomized controlled trial , psychological intervention , coronary artery disease , cardiology , surgery , myocardial infarction , nursing , pathology
In 2007, the Society for Cardiovascular Angiography and Interventions (SCAI) published an Expert Consensus Document titled “The Current Status and Future Direction of Percutaneous Coronary Intervention without On-Site Surgical Backup” [1]. This document summarized the available data on the performance of percutaneous coronary intervention (PCI) without onsite surgery in the United States (US), reviewed the existing literature, examined the recommendations for the performance of PCI in this setting from several professional organizations abroad and from experienced programs in the US, defined the best practices for facilities engaged in PCI without on-site surgery and made recommendations for the future role of PCI without on-site surgery. Since publication of that document, new studies, meta-analyses, and randomized trials have been published comparing PCI with and without on-site surgery. In addition, the total number of PCIs performed annually has decreased, reports about the overuse of PCI have emerged, and appropriate use criteria for coronary revascularization have been published. A noteworthy change occurred in the 2011 PCI guideline in which elective PCI was upgraded to Class IIb and primary PCI was upgraded to Class IIa at facilities without onsite surgery [2]. Several tables on the structure and operation of programs without on-site surgery from the 2007 SCAI Expert Consensus Document were used in the 2011 PCI guideline recommendations. Finally, new updates of the ACCF/SCAI Expert Consensus Document on Cardiac Catheterization Laboratory Standards and the ACCF/AHA/SCAI Clinical Competence in