Related Experiment Video

Updated: Jul 12, 2026

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease
06:39

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

Published on: February 19, 2020

On-site surgical standby for percutaneous coronary intervention: a thing of the past?

Mark A de Belder

    Heart (British Cardiac Society)
    |February 27, 2007
    PubMed

    Insights

    The necessity of onsite surgical backup for percutaneous coronary intervention (PCI) is questionable today. Modern PCI techniques and improved patient selection reduce the need for immediate surgical intervention.

    Area of Science:

    • Cardiovascular Medicine
    • Interventional Cardiology
    • Surgical Services

    Background:

    • Percutaneous coronary intervention (PCI) has evolved significantly, with advancements in techniques and devices.
    • Historically, onsite surgical backup was mandated for PCI centers due to the risk of emergency coronary artery bypass grafting (CABG).

    Discussion:

    • This analysis critically evaluates the current relevance of mandatory onsite surgical backup for PCI.
    • Factors such as reduced complication rates, improved interventionalist expertise, and the availability of rapid transfer protocols are considered.

    Key Insights:

    • The risk of requiring emergency CABG during PCI is now very low.
    • Many centers successfully perform PCI without immediate surgical availability, relying on robust transfer agreements.

    Outlook:

    • Future guidelines may need to re-evaluate the stringent requirement for onsite surgical backup for PCI centers.
    • Focus may shift towards optimizing patient selection and ensuring efficient emergency response systems.

    More Related Videos

    Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels08:12

    Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

    Published on: May 26, 2023

    Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft05:25

    Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

    Published on: September 15, 2023

    Related Concept Videos

    Cardiac Catheterization I: Pre-Procedure Overview01:28

    Cardiac Catheterization I: Pre-Procedure Overview

    Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
    Cardiac Catheterization III: Left Heart Catheterization01:24

    Cardiac Catheterization III: Left Heart Catheterization

    Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
    Cardiac Catheterization IV: Nursing Management01:26

    Cardiac Catheterization IV: Nursing Management

    Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
    Coronary Artery Disease V: Interprofessional Care01:27

    Coronary Artery Disease V: Interprofessional Care

    Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
    Acute Coronary Syndrome I: Introduction01:30

    Acute Coronary Syndrome I: Introduction

    Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
    Acute Coronary Syndrome IV: Interprofessional Care01:28

    Acute Coronary Syndrome IV: Interprofessional Care

    IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...