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Coronary Artery Disease V: Interprofessional Care

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Coronary Artery Disease IV: Preventive Measures

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Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Related Experiment Video

Updated: Jun 19, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Clinical outcomes in a community-based single operator coronary interventional program.

Christian J Posner1, Carol L Kaufman

  • 1Mercy Heart and Vascular Center, 1000 Mineral Point Ave, Janesville, WI 53548, USA. cposner@mhsjvl.org

WMJ : Official Publication of the State Medical Society of Wisconsin
|October 10, 2009
PubMed
Summary
This summary is machine-generated.

Low-volume coronary interventional programs can achieve outcomes comparable to high-volume centers. This study demonstrates that even with complex cases, success rates for percutaneous coronary interventions are achievable.

Related Experiment Videos

Last Updated: Jun 19, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Health Services Research

Background:

  • Low-volume centers (<200 procedures/year) and physicians (<75 procedures/year) performing coronary interventions are associated with increased procedural risk and poorer outcomes.
  • This perception often leads to patient reluctance to undergo procedures at such facilities.

Purpose of the Study:

  • To evaluate the clinical outcomes of coronary interventions performed in a low-volume community hospital setting.
  • To determine if a low-volume program can achieve results comparable to high-volume referral centers.

Main Methods:

  • Retrospective analysis of 559 patients undergoing multi-device coronary interventions between 1994 and 2002.
  • Procedures performed by a single operator in a community hospital with on-site cardiac surgical services.
  • Analysis included patients with ST-elevation myocardial infarction and acute cardiogenic shock.

Main Results:

  • Mortality was <1% when patients with ST-elevation myocardial infarction and cardiogenic shock were excluded.
  • The 6-month target lesion revascularization rate was 9.1% overall and 7.8% for coronary stents.
  • From 1999-2002, these rates decreased to 2.1% and 1.9%, respectively, indicating improved outcomes over time.

Conclusions:

  • A low-volume coronary interventional program can achieve success rates and patient outcomes comparable to high-volume centers.
  • These findings hold true even when including high-risk patients with ST-elevation myocardial infarction.
  • This suggests that operator experience and dedicated care can mitigate risks associated with lower procedural volumes.