CardioExchange Archive

March 25th, 2012

Study Supports PCI Without On-Site Surgical Backup

Larry Husten, PHD

Here’s a great example of genuine medical progress: 10% of the first 50 patients who received balloon angioplasty from the procedure’s developer, Andreas Grüntzig, required emergency bypass surgery. By 2002 only 0.15% of PCI patients required emergency surgery, leading many to believe that surgical backup was no longer necessary. Now a large new study provides strong […]

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February 27th, 2012

Meta-Analysis Finds No Advantages for PCI Over Medical Therapy in Stable Patients

Larry Husten, PHD

Patients with stable coronary artery disease (CAD) today do no better with stents than with medical therapy, according to a new meta-analysis published in the Archives of Internal Medicine. Kathleen Stergiopoulos and David Brown identified 8 trials with 7,229 patients comparing stents to medical therapy in which stents were used in the majority of PCI cases. ”By limiting the […]

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February 22nd, 2012

Part 5: Clashing Views of Appropriate Use Criteria for PCI

Paul S. Chan, MD, MS, Steve Marso, MD, John Spertus, MD, MPH and J Aaron Grantham, MD, FACC

In a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange members for their […]

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February 21st, 2012

Part 4: Clashing Views of Appropriate Use Criteria for PCI

Steve Marso, MD, J Aaron Grantham, MD, FACC, Paul S. Chan, MD, MS and John Spertus, MD, MPH

In a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange members for their […]

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February 17th, 2012

Part 3: Clashing Views of Appropriate Use Criteria for PCI

John Spertus, MD, MPH, Steve Marso, MD, J Aaron Grantham, MD, FACC and Paul S. Chan, MD, MS

In a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange members for their […]

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February 16th, 2012

Part 2: Clashing Views of Appropriate Use Criteria for PCI

J Aaron Grantham, MD, FACC, John Spertus, MD, MPH, Steve Marso, MD and Paul S. Chan, MD, MS

In a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange members for their […]

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February 15th, 2012

Part 1: Clashing Views of Appropriate Use Criteria for PCI

Paul S. Chan, MD, MS, J Aaron Grantham, MD, FACC, Steve Marso, MD and John Spertus, MD, MPH

In a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange […]

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February 8th, 2012

Prominent Interventionalists Attack Appropriate Use Criteria for PCI

Larry Husten, PHD

A group of leading interventional cardiologists has launched an attack on the growing role of appropriate use criteria (AUC) for PCI in the U.S. They argue that severe flaws in current guidelines render unreliable attempts to assess the rate of appropriate procedures. In a paper published in JACC: Cardiovascular Interventions, Steven Marso and colleagues (Paul Teirstein, Dean […]

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February 8th, 2012

(In)Appropriate PCI: An (In)Appropriate Critique?

Richard A. Lange, MD, MBA and L. David Hillis, MD

According to a recently published study by Chan and colleagues, only 50% of the PCIs performed for nonacute indications were classified as appropriate, according to appropriate use criteria (AUC); 38% were “uncertain,” and 12% were inappropriate. In a new expedited publication, Marso and colleagues  retort by expressing concerns with the “current” PCI AUC (see also our CardioExchange news coverage here). […]

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February 8th, 2012

Two Different Perspectives on the CABG Versus PCI Message in ASCERT

Fred H Edwards, MD, MS, Richard A. Lange, MD, MBA and L. David Hillis, MD

At the recent meeting of the Society of Thoracic Surgeons (STS), Fred Edwards presented the high-risk subset of ASCERT (ACCF-STS Database Collaboration on the Comparative Effectiveness of Revascularization Strategies). CardioExchange Interventional Cardiology moderators Rick Lange and David Hillis posed the following questions to Edwards and Christopher White, the president of the Society for Cardiovascular Angiography and Interventions (SCAI). Rick Lange and David […]

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