Outcomes following elective percutaneous coronary intervention without on-site surgical backup in a community hospital.
Despite guidelines to the contrary, limited numbers of elective percutaneous coronary intervention (PCI) procedures without on-site surgical backup are being performed, particularly in Europe and Canada. In the United States, many hospitals are considering establishing on-site surgical programs, in part to facilitate PCI. At a hospital with only off-site surgical backup, 562 elective PCI procedures were performed on 489 consecutive patients. Of these, 551 (98.0%) were successfully completed without major in-hospital complications; 5 patients (1.0%) had in-hospital complications, and 4 (0.8%) were urgently transferred. It is concluded that elective PCI with off-site surgical backup is feasible and safe for selected patients under specific conditions.
Paraschos
Alexander
A
Alamance Regional Medical Center, Burlington, North Carolina, USA.
Callwood
Dwayne
D
Wightman
Marilyn B
MB
Tcheng
James E
JE
Phillips
Harry R
HR
Stiles
Gary L
GL
Daniel
John M
JM
Sketch
Michael H
MH
D015906:Angioplasty, Balloon, Coronary / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006764:Hospitals, Community / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery / Q000628:therapy*; D009657:North Carolina; D017410:Practice Guidelines as Topic; D013503:Surgery Department, Hospital / Q000592:standards*; D013903:Thoracic Surgery; D016896:Treatment Outcome