Original Article
Thirty years of standalone percutaneous coronary interventions: A 23,261 case experience from a Canadian tertiary referral centre
Author(s): William KK Hui*, David G O´Brien, Neil S Brass, Po Kee Cheung, Michael CY Chan, Raymond CM Leung, Benjamin D Tyrrell, Shantu Bundhoo, Pitak Pongnonthachai, P Diane Galbraith, Keysun Ranjbar, Micha Dorsch, Roderick MacArthur and W Peter Klinke
Background: When percutaneous coronary intervention (PCI) was first performed >35 years ago, on-site cardiac surgery backup for PCI failure was deemed essential. As techniques improved and primary PCI became the preferred reperfusion strategy for acute myocardial infarction, many standalone PCI programs originally established to facilitate access to primary PCI started to perform elective PCI, which remains a Class IIb recommendation in American College of Cardiology Foundation/American Heart Association/Society for Cardiac Angiography and Interventions guidelines. Two recent United States studies showed that outcomes of elective PCI in standalone centres were noninferior to those with on-site cardiac surgery. The Royal Alexandra Hospital in Edmonton (Alberta) performed the first standalone PCI in Canada in 1981.
Objectives: The authors describe their first 30 years’ .. Read More»
DOI:
10.4172/2368-0512.1000048
