Why the study?
Does PCI performed at hospitals without on-site cardiac surgery result in noninferior outcomes compared to hospitals with on-site cardiac surgery in patients undergoing non-primary PCI?
Population
18,867 patients undergoing percutaneous coronary intervention; patients requiring primary PCI were excluded.
Comparison
PCI performed at a hospital without on-site… vs PCI performed at a hospital with on-site cardiac…
Design
RCT, 3:1 ratio
Follow-up
9 months
Authors
Loading...
Supports PCI at hospitals without on-site surgery for non-primary cases; extends access to revascularization with noninferior safety.
Does PCI performed at hospitals without on-site cardiac surgery result in noninferior outcomes compared to hospitals with on-site cardiac surgery in patients undergoing non-primary PCI?
PCI can be safely performed at hospitals without on-site cardiac surgery with noninferior mortality and MACE outcomes compared to hospitals with on-site surgery, despite a slightly higher rate of target-vessel revascularization.
Aversano et al. (2012) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: