Percutaneous transluminal coronary angioplasty (PTCA) without on‐site surgical facilities

Cheong, Y.; Dick, Ronald; SIa, Brodskaia; Lim, Yu Liang

doi:10.1111/j.1445-5994.1998.tb02965.x

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“…A previously published Australian study 9 evaluated limited experience and attracted a cautionary editorial 10 . In particular, it was recommended that unstable patients be transferred to centres with on‐site surgery before PCI.…”

Section: Trends In Procedural Adjuncts Procedural Success and Other mentioning

confidence: 99%

Temporal trends in major angioplasty complications: technical issues and the case for on‐site coronary surgery

Mishra

Sage

Philpott

et al. 2006

Internal Medicine Journal

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The need for on-site cardiac surgery has been a component of guidelines for the practice of elective and emergency percutaneous coronary intervention (PCI). However, proportions of cases requiring emergency coronary artery bypass grafting (CABG) post-PCI have fallen. This audit of complications of PCI confirms the very low incidence of need for emergency CABG, despite increasingly complex PCI caseload. Although the availability of stents/antiplatelet pharmacotherapy probably has contributed to improved PCI outcomes, the avoidance of emergency CABG is not contingent on either extensive use of glycoprotein IIb/IIIa inhibitors or strategies of universal stenting.

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Section: Trends In Procedural Adjuncts Procedural Success and Other mentioning

confidence: 99%