ACCF/AHA/SCAI 2013 Update of the Clinical Competence Statement on Coronary Artery Interventional Procedures

Harold, John; Bass, Theodore A.; Bashore, Thomas M.; Brindis, Ralph G.; Brush, John E.; Burke, James A.; Dehmer, Gregory J.; Deychak, Yuri A.; Jneid, Hani; Jollis, James G.; Landzberg, Joel S.; Levine, Glenn N.; McClurken, James B.; Messenger, John C.; Moussa, Issam; Muhlestein, J. Brent; Pomerantz, Richard M.; Sanborn, Timothy A.; Sivaram, Chittur A.; White, Christopher J.; Williams, Eric S.; Jacobovitz, Shalom; Oetgen, William J.; May, Charlene; Phoubandith, Dawn R.; Ronan, Grace D.; Barrett, Erin A.; Arnett, Donna K.; Brown, Nancy; Robertson, Rose Marie; Whitman, Gayle R.; Bezanson, Judy L.; Linsky, Norm; Harder, Joel C.

doi:10.1161/cir.0b013e318299cd8a

Cited by 74 publications

(25 citation statements)

References 184 publications

(169 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All physicians must maintain procedure-specific credentialing and privileging by their institution, typically requiring American Board of Internal Medicine (ABIM), American Osteopathic Association (AOA), or evolving certification models such as that from the National Board of Physicians and Surgeons (NBPAS) [2]. Each CCL should have a procedure for recertification of privileges, required every 2 years by The Joint Commission (TJC).…”

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

“…Clinical competence guidelines state that in order to maintain proficiency while keeping complications at a low level, a minimum volume of 200 PCIs/year be achieved by all institutions [2]. In addition, although the clinical competence guidelines acknowledge only a moderate correlation between operator percutaneous coronary interventions (PCI) volume and mortality, for each operator a minimum PCI volume of 50/year is recommended, averaged over 2 years.…”

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

“…The performance of primary percutaneous coronary intervention (PPCI, PCI in the setting of acute ST elevation myocardial infarction) requires an additional cognitive and technical skill set [2]; therefore, it is recommended that operators perform 11 PPCI/year and that institutions should perform 36 PPCI/year, when possible [2]. For institutions without on-site cardiac surgery, oversight to ensure the quality of procedures is paramount [2,7].…”

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

“…For institutions without on-site cardiac surgery, oversight to ensure the quality of procedures is paramount [2,7]. For such sites, operators should perform at least 50 PCIs/year, including 11 primary PCIs, and the institution should ideally recruit more experienced operators.…”

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

See 3 more Smart Citations

SCAI expert consensus statement: 2016 best practices in the cardiac catheterization laboratory: (Endorsed by the cardiological society of india, and sociedad Latino Americana de Cardiologia intervencionista; Affirmation of value by the Canadian Association of interventional cardiology–Association canadienne de cardiologie d'intervention)*

Naidu

Aronow

Box

et al. 2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

Section: Institutional and Operator Qualifications And Components Of mentioning

confidence: 99%

See 2 more Smart Citations

SCAI expert consensus statement: 2016 best practices in the cardiac catheterization laboratory: (Endorsed by the cardiological society of india, and sociedad Latino Americana de Cardiologia intervencionista; Affirmation of value by the Canadian Association of interventional cardiology–Association canadienne de cardiologie d'intervention)*

Naidu

Aronow

Box

et al. 2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

“…Volume criteria for centers specify at least 36 primary procedures per year (Harold et al. 2013); this threshold has been associated with lower mortality and shorter door‐to‐balloon times (Kontos et al. 2013).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of regionalized systems for stroke and myocardial infarction

et al. 2015

View full text Add to dashboard Cite

BackgroundAcute ischemic stroke (AIS) and ST‐segment elevation myocardial infarction (STEMI) are ischemic emergencies. Guidelines recommend care delivery within formally regionalized systems of care at designated centers, with bypass of nearby centers of lesser or no designation. We review the evidence of the effectiveness of regionalized systems in AIS and STEMI.MethodsLiterature was searched using terms corresponding to designation of AIS and STEMI systems and from 2010 to the present. Inclusion criteria included report of an outcome on any dependent variable mentioned in the rationale for regionalization in the guidelines and an independent variable comparing care to a non‐ or pre‐regionalized system. Designation was defined in the AIS case as certification by the Joint Commission as either a primary (PSC) or comprehensive (CSC) stroke center. In the STEMI case, the search was conducted linking “regionalization” and “myocardial infarction” or citation as a model system by any American Heart Association statement.ResultsFor AIS, 17 publications met these criteria and were selected for review. In the STEMI case, four publications met these criteria; the search was therefore expanded by relaxing the criteria to include any historical or anecdotal comparison to a pre‐ or nonregionalized state. The final yield was nine papers from six systems.ConclusionAlthough regionalized care results in enhanced process and reduced unadjusted rates of disparity in access and adverse outcomes, these differences tend to become nonsignificant when adjusted for delayed presentation and hospital arrival by means other than emergency medical services. The benefits of regionalized care occur along with a temporal trend of improvement due to uptake of quality initiatives and guideline recommendations by all systems regardless of designation. Further research is justified with a randomized registry or cluster randomized design to support or refute recommendations that regionalization should be the standard of care.

show abstract

Procedural Volume and Outcomes of Septal Reduction Therapies in Patients With Hypertrophic Obstructive Cardiomyopathy

2017

View full text Add to dashboard Cite

ACCF/AHA/SCAI 2013 Update of the Clinical Competence Statement on Coronary Artery Interventional Procedures

Abstract: Supplemental Digital Content is available in the text.

Cited by 74 publications

References 184 publications

Effectiveness of regionalized systems for stroke and myocardial infarction

Procedural Volume and Outcomes of Septal Reduction Therapies in Patients With Hypertrophic Obstructive Cardiomyopathy

Contact Info

Product

Resources

About