Does Appropriateness of PCI Influence Procedural Outcomes?

An analysis of registry data reveals no such association, suggesting that patient selection and procedural performance should be assessed separately.

Appropriate use criteria (AUC) for percutaneous coronary intervention (PCI) have become a major quality metric for patient selection and resource utilization. In this analysis, investigators made use of the National Cardiovascular Data Registry to determine whether an association exists between adherence to AUC and in-hospital outcomes of PCI.

Included were 203,561 patients undergoing PCI for nonacute indications at 779 hospitals during 2009–2011. A total of 12.1% of the procedures were classified as inappropriate (range, 0%–56.6%). Compared with the hospital tertile with the lowest median rate of inappropriate PCI (5.3%), the tertile with the highest rate (20.0%) had similar risk-adjusted in-hospital mortality (0.3%; odds ratio, 1.12; P=0.3…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI