Six-week mortality rates for short-term elective angioplasty and cardiac stenting at the two types of centers came out almost the same, according to the report. Adverse events were also noninferior at centers without onsite cardiac surgery.
The results were reflected only in selected lower-risk patients — those without unprotected left main disease or ejection fraction under 20 percent — at centers capable of doing 200 cases a year and offering primary PCI round-the-clock.
The American Hospital Association and the American College of Cardiology recommend 400 cases a year as the minimum threshold for doing PCI, according to the report.
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