SCAI statement on ad hoc versus the separate performance of diagnostic cardiac catheterization and coronary...

Area of Science:

• Interventional Cardiology
• Cardiovascular Medicine
• Medical Procedure Optimization

Background:

• Historically, diagnostic cardiac catheterization and coronary intervention were performed separately.
• The practice of ad hoc intervention, combining both procedures in a single session, has increased due to patient convenience and physician efficiency.
• The safety, cost-effectiveness, and appropriate use criteria for ad hoc intervention remain subjects of ongoing discussion and research.

Purpose of the Study:

• To update the review on ad hoc intervention in coronary procedures.
• To provide suggestions for the appropriate use of ad hoc intervention as a routine strategy.
• To address the uncertainties regarding the safety and cost savings of ad hoc intervention.

Main Methods:

• Review of existing literature and clinical practices regarding ad hoc intervention.
• Analysis of convenience, efficiency, safety, and cost implications.
• Development of criteria for appropriate patient selection.

Main Results:

• Ad hoc intervention is convenient for patients and efficient for physicians.
• The safety and potential cost savings of ad hoc intervention are not definitively established.
• Ad hoc intervention is deemed reasonable for many patients but not universally appropriate or standard therapy.

Conclusions:

• Ad hoc intervention offers benefits but requires careful consideration of patient-specific factors.
• Establishing clear criteria for ad hoc intervention is crucial for its appropriate implementation.
• Further research is needed to fully ascertain the safety and economic advantages of this approach.