Seeking the difference between starting and established PCI center
Abstract
The study by Juwana et al is looking for primary PCI results that were conducted in a starting PCI center. The authors thought that as PCI results depend on center experience then it is mandatory to study how good it is when performed in a new or starting PCI center. The question arise is whether primary PCI re-sults would really be differed? If it is so, what make it difference? Some variables need to be elaborated in this regard that mainly comprised of operator, paramedics, tools and devices.Though a study by Politi et al suggest that expertise and experience of the whole professional team, rather than just of the individual operator, play a major role of PCI outcome, most of studies indicate the operator experience is the main issue. It is why that ACC/AHA guideline strictly stated that only operator who has sufficient experience i.e. 75 PCI per year allowed to do primary PCI.
In ad-dition, it is recognized that there are limitations in the application of the risk-adjustment methodology in the evaluation of rare events and of low-volume operators, and that there might be substantial varia-tions in the volume–outcome relationship.
Downloads
Download data is not yet available.
References
Juwana YB, Ottervanger JP, Dambrink JH, van’t Hof A, de Boer MJ, Hoorntje J, Suryapranata H. Primary coronary interven-tion for ST elevation myocardial infarction in starting heart center in Indonesia: the first 100 patients J Kardiol Indones. 2011;32(2):71-6.
Politi A, Galli M, Zerboni S, Michi R, De Marco F, Llambro M, Ferrari G. Operator volume and outcomes of primary an-gioplasty for acute myocardial infarction in a single high-volume centre. J Cardiovasc Med (Hagerstown). 2006;7(10):761-767.
Ryan TJ. The critical question of procedure volume minimums for coronary angioplasty. JAMA. 1995;274(14):1169-1170.
Califf RM, Jollis JG, Peterson ED. Operator-specific outcomes. A call to professional responsibility. Circulation. 1996;93(3):403-406.
Malenka DJ, McGrath PD, Wennberg DE, Ryan TJ, Jr., Kellett MA, Jr., Shubrooks SJ, Jr., Bradley WA, Hettlemen BD, Robb JF, Hearne MJ, Silver TM, Watkins MW, O’Meara JR, VerLee PN, O’Rourke DJ. The relationship between operator volume and outcomes after percutaneous coronary interventions in high volume hospitals in 1994-1996: the northern New England experience. Northern New England Cardiovascular Disease Study Group. J Am Coll Cardiol. 1999;34(5):1471-1480.
McGrath PD, Wennberg DE, Dickens JD, Jr., Siewers AE, Lucas FL, Malenka DJ, Kellett MA, Jr., Ryan TJ, Jr. Relation between operator and hospital volume and outcomes following percutaneous coronary interventions in the era of the coronary stent. JAMA. 2000;284(24):3139-3144.
King SB, 3rd, Aversano T, Ballard WL, Beekman RH, 3rd, Cowley MJ, Ellis SG, Faxon DP, Hannan EL, Hirshfeld JW, Jr., Jacobs AK, Kellett MA, Jr., Kimmel SE, Landzberg JS, McKeever LS, Moscucci M, Pomerantz RM, Smith KM, Vetrovec GW, Creager MA, Holmes DR, Jr., Newby LK, Weitz HH, Merli G, Pina I, Rodgers GP, Tracy CM. ACCF/AHA/SCAI 2007 update of the Clinical Competence Statement on Cardiac Interventional Procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training (Writing Committee to Update the 1998 Clinical Competence Statement on Recommendations for the Assessment and Main-tenance of Proficiency in Coronary Interventional Procedures). Circulation. 2007;116(1):98-124.
Srinivas VS, Hailpern SM, Koss E, Monrad ES, Alderman MH. Effect of physician volume on the relationship between hospital volume and mortality during primary angioplasty. J Am Coll Cardiol. 2009;53(7):574-579.
Alkatiri AH, Yuniadi Y, Hanafy DA, Firman D, Soerianata S. Association of Ebtifibatide Administration Timing and TIMI Flow of Infarct Related Artery During Primary PCI. . J Kardiol Indones. 2011;32(1):27-33.
Politi A, Galli M, Zerboni S, Michi R, De Marco F, Llambro M, Ferrari G. Operator volume and outcomes of primary an-gioplasty for acute myocardial infarction in a single high-volume centre. J Cardiovasc Med (Hagerstown). 2006;7(10):761-767.
Ryan TJ. The critical question of procedure volume minimums for coronary angioplasty. JAMA. 1995;274(14):1169-1170.
Califf RM, Jollis JG, Peterson ED. Operator-specific outcomes. A call to professional responsibility. Circulation. 1996;93(3):403-406.
Malenka DJ, McGrath PD, Wennberg DE, Ryan TJ, Jr., Kellett MA, Jr., Shubrooks SJ, Jr., Bradley WA, Hettlemen BD, Robb JF, Hearne MJ, Silver TM, Watkins MW, O’Meara JR, VerLee PN, O’Rourke DJ. The relationship between operator volume and outcomes after percutaneous coronary interventions in high volume hospitals in 1994-1996: the northern New England experience. Northern New England Cardiovascular Disease Study Group. J Am Coll Cardiol. 1999;34(5):1471-1480.
McGrath PD, Wennberg DE, Dickens JD, Jr., Siewers AE, Lucas FL, Malenka DJ, Kellett MA, Jr., Ryan TJ, Jr. Relation between operator and hospital volume and outcomes following percutaneous coronary interventions in the era of the coronary stent. JAMA. 2000;284(24):3139-3144.
King SB, 3rd, Aversano T, Ballard WL, Beekman RH, 3rd, Cowley MJ, Ellis SG, Faxon DP, Hannan EL, Hirshfeld JW, Jr., Jacobs AK, Kellett MA, Jr., Kimmel SE, Landzberg JS, McKeever LS, Moscucci M, Pomerantz RM, Smith KM, Vetrovec GW, Creager MA, Holmes DR, Jr., Newby LK, Weitz HH, Merli G, Pina I, Rodgers GP, Tracy CM. ACCF/AHA/SCAI 2007 update of the Clinical Competence Statement on Cardiac Interventional Procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training (Writing Committee to Update the 1998 Clinical Competence Statement on Recommendations for the Assessment and Main-tenance of Proficiency in Coronary Interventional Procedures). Circulation. 2007;116(1):98-124.
Srinivas VS, Hailpern SM, Koss E, Monrad ES, Alderman MH. Effect of physician volume on the relationship between hospital volume and mortality during primary angioplasty. J Am Coll Cardiol. 2009;53(7):574-579.
Alkatiri AH, Yuniadi Y, Hanafy DA, Firman D, Soerianata S. Association of Ebtifibatide Administration Timing and TIMI Flow of Infarct Related Artery During Primary PCI. . J Kardiol Indones. 2011;32(1):27-33.
Views & Downloads
Abstract views: 2552
PDF downloads: 1654
PDF downloads: 1654
How to Cite
Yuniadi, Y. (1). Seeking the difference between starting and established PCI center. Indonesian Journal of Cardiology, 32(2), 77-78. https://doi.org/10.30701/ijc.v32i2.103
Section
Comments
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
