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. 2023 Jan 30;2(2):100560.
doi: 10.1016/j.jscai.2022.100560. eCollection 2023 Mar-Apr.

SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup

Cindy L Grines  1 , Lyndon C Box  2 , Mamas A Mamas  3 , J Dawn Abbott  4 , James C Blankenship  5 , Jeffrey G Carr  6 , Nick Curzen  7 , William D T Kent  8 , Yazan Khatib  9 , Alexis Matteau  10 , Jennifer A Rymer  11 , Theodore L Schreiber  12 , Poonam Velagapudi  13 , Mladen I Vidovich  14 , Stephen W Waldo  15 , Arnold H Seto  16
Affiliations

SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup

Cindy L Grines et al. J Soc Cardiovasc Angiogr Interv. .
No abstract available

Keywords: ambulatory surgery; cardiac surgery; complications; health policy; percutaneous coronary intervention.

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Figures

Figure 1
Figure 1
Simplified algorithm for case selection for elective PCI at different facilities, assuming an experienced interventional cardiologist. AKI, acute kidney injury; ASC, ambulatory surgery centers; CTO, chronic total occlusions; ECMO, extracorporeal membrane oxygenation; LVEF, left ventricular ejection fraction; OBL, office-based laboratories; PCI, percutaneous coronary intervention; pVAD, percutaneous ventricular assist device; SOS, surgery on site.
Figure 2
Figure 2
Medicare pay updates compared with inflation (2001-2021). According to data from Medicare & Medicaid Services (CMS), Medicare physician pay has increased just 11% over the last 2 decades, or 0.5% per year on average, compared with 60% for hospital fee updates and a 39% increase in practice expenses over the same period. MEI, Medicare Economic Index; SNF, skilled nursing facility. Source: American Medical Association, Economic and Health Policy Research, October 2021. Available from ama-assn.org/system/files/medicare-pay-chart-2021.pdf
See this image and copyright information in PMC

References

    1. Richardson S.G., Morton P., Murtagh J.G., O’Keeffe D.B., Murphy P., Scott M.E. Management of acute coronary occlusion during percutaneous transluminal coronary angioplasty: experience of complications in a hospital without on site facilities for cardiac surgery. BMJ. 1990;300(6721):355–358. - PMC - PubMed
    1. Dehmer G.J., Blankenship J., Wharton T.P., et al. The current status and future direction of percutaneous coronary intervention without on-site surgical backup: an expert consensus document from the Society for Cardiovascular Angiography and Interventions. Catheter Cardiovasc Interv. 2007;69(4):471–478. - PubMed
    1. Dehmer G.J., Blankenship J.C., Cilingiroglu M., et al. SCAI/ACC/AHA expert consensus document: 2014 update on percutaneous coronary intervention without on-site surgical backup. Catheter Cardiovasc Interv. 2014;84(2):169–187. - PubMed
    1. Bradley S.M., Kaltenbach L.A., Xiang K., et al. Trends in use and outcomes of same-day discharge following elective percutaneous coronary intervention. JACC Cardiovasc Interv. 2021;14(15):1655–1666. - PubMed
    1. Box L.C., Blankenship J.C., Henry T.D., et al. SCAI position statement on the performance of percutaneous coronary intervention in ambulatory surgical centers. Catheter Cardiovasc Interv. 2020;96(4):862–870. - PubMed

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