Update: PCI Without On-Site Surgical Backup-Evidence Supporting PCI at No-SOS Centers

Video Transcription

Video Summary

In this video, the speaker discusses data from various studies on performing percutaneous coronary intervention (PCI) without on-site surgery. They mention a landmark trial called the Seaport elective trial, which showed similar outcomes in terms of death and emergency cabbage (coronary artery bypass grafting) between centers with and without on-site surgery. Further randomized trials and registries have supported these findings, showing no difference in outcomes for various patient populations. The speaker also highlights studies from the United Kingdom, Australia, and the use of complex procedures like atherectomy and chronic total occlusions. The data suggests that PCI can be performed safely without on-site surgery, with important considerations being PCI volume, operator experience, and lab capabilities to handle complications. The speaker emphasizes that guidelines should catch up with current practices. No specific credits are given in the transcript.

Asset Subtitle

J. Dawn Abbott, MD, FSCAI

Keywords

percutaneous coronary intervention

on-site surgery

Seaport elective trial

outcomes

complications