Percutaneous Coronary Intervention
Frailty associated with lower PCI utilization, more readmissions after STEMI
Among patients admitted for acute MI, intermediate- or high-risk frailty is associated with lower utilization of PCI, greater length of stays, greater total costs and higher 30-day readmissions, researchers reported.
Societies update clinical competencies for interventional cardiology
A joint statement outlines competency-based training requirements for interventional cardiology trainees across three subspecialties, offering a “roadmap” for program directors and trainees for required procedural and technical experience.
Single-operator CTO PCI cases confer shorter procedures, similar outcomes vs. multiple
Registry data suggest single-operator PCI cases for chronic total occlusion had lower procedural and fluoroscopy times compared with multiple-operator cases, as well as similar technical and procedural success and risk for complications.
SCAI: PCI equally safe with or without on-site surgery access
PCI without surgery on-site is as safe as PCI at centers with on-site surgery across randomized controlled trials, observational studies and international experiences, according to an expert consensus statement.
Head-to-head DES trial shows differing outcomes for adults with diabetes
Among adults with diabetes who underwent PCI, rates of target lesion failure were similar for two drug-eluting stents, though net adverse clinical events varied between arms and differed for people taking insulin, data show.
Intra-aortic balloon pump recall designated class I by FDA
Datascope/Getinge announced a recall of its intra-aortic balloon pumps due to risk for blood entering the pump through a damaged balloon catheter — also called a blood back event — and causing harm to the patient.
Experienced operators could abolish prophylactic nitroglycerin use in transradial access
Among experienced operators, prophylactic nitroglycerin did not prevent radial artery spasm during transradial access compared with placebo, though it was associated with fewer incidences among inexperienced operators, data show.
Likelihood of receiving PCI at low-volume center increasing, regardless of race
Statewide data from California show an increased likelihood of undergoing PCI at a low-volume center over 8 years regardless of race, income or insurance status, researchers reported.
PRECISE
Effectiveness of diagnostic evaluation strategies for stable CAD performed in outpatient settings.
Coronary microvascular dysfunction with INOCA predicts poor outcomes
In patients with ischemia and no obstructive coronary arteries, known as INOCA, the level of nonobstructive coronary stenosis does not affect the prognostic impact of coronary microvascular dysfunction, researchers reported.