Seeking the difference between starting and established PCI center

The study by Juwana et al is looking for primary PCI results that were conducted in a starting PCI center. The authors thought that as PCI results depend on center experience then it is mandatory to study how good it is when performed in a new or starting PCI center. The question arise is whether pr...

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Main Author: Yoga Yuniadi
Format: Article
Language:English
Published: Indonesian Heart Association 2013-06-01
Series:Majalah Kardiologi Indonesia
Online Access:http://ijconline.id/index.php/ijc/article/view/103
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author Yoga Yuniadi
author_facet Yoga Yuniadi
author_sort Yoga Yuniadi
collection DOAJ
description The study by Juwana et al is looking for primary PCI results that were conducted in a starting PCI center. The authors thought that as PCI results depend on center experience then it is mandatory to study how good it is when performed in a new or starting PCI center. The question arise is whether primary PCI re-sults would really be differed? If it is so, what make it difference? Some variables need to be elaborated in this regard that mainly comprised of operator, paramedics, tools and devices. Though a study by Politi et al suggest that expertise and experience of the whole professional team, rather than just of the individual operator, play a major role of PCI outcome, most of studies indicate the operator experience is the main issue. It is why that ACC/AHA guideline strictly stated that only operator who has sufficient experience i.e. 75 PCI per year allowed to do primary PCI. In ad-dition, it is recognized that there are limitations in the application of the risk-adjustment methodology in the evaluation of rare events and of low-volume operators, and that there might be substantial varia-tions in the volumeoutcome relationship.
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spelling doaj.art-6b0fa7e27ab44cf29f73a6775f251c432022-12-22T00:36:55ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622013-06-0132210.30701/ijc.v32i2.103Seeking the difference between starting and established PCI centerYoga Yuniadi0Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia and National Cardiovascular Center Harapan Kita. Jl S Parman Kav 87, Jakarta 11420The study by Juwana et al is looking for primary PCI results that were conducted in a starting PCI center. The authors thought that as PCI results depend on center experience then it is mandatory to study how good it is when performed in a new or starting PCI center. The question arise is whether primary PCI re-sults would really be differed? If it is so, what make it difference? Some variables need to be elaborated in this regard that mainly comprised of operator, paramedics, tools and devices. Though a study by Politi et al suggest that expertise and experience of the whole professional team, rather than just of the individual operator, play a major role of PCI outcome, most of studies indicate the operator experience is the main issue. It is why that ACC/AHA guideline strictly stated that only operator who has sufficient experience i.e. 75 PCI per year allowed to do primary PCI. In ad-dition, it is recognized that there are limitations in the application of the risk-adjustment methodology in the evaluation of rare events and of low-volume operators, and that there might be substantial varia-tions in the volumeoutcome relationship.http://ijconline.id/index.php/ijc/article/view/103
spellingShingle Yoga Yuniadi
Seeking the difference between starting and established PCI center
Majalah Kardiologi Indonesia
title Seeking the difference between starting and established PCI center
title_full Seeking the difference between starting and established PCI center
title_fullStr Seeking the difference between starting and established PCI center
title_full_unstemmed Seeking the difference between starting and established PCI center
title_short Seeking the difference between starting and established PCI center
title_sort seeking the difference between starting and established pci center
url http://ijconline.id/index.php/ijc/article/view/103
work_keys_str_mv AT yogayuniadi seekingthedifferencebetweenstartingandestablishedpcicenter