News

Elective Angioplasty Safe at Hospitals Without Surgical Backup


 

FROM THE ANNUAL MEETING OF THE AMERICAN COLLEGE OF CARDIOLOGY

Rates for hospitals without and with SOS were 5.2% vs. 5.3% for bleeding, 1.2% vs. 1.1% for vascular repair, 0.5% vs. 0.6% for stroke and 0.8% vs. 0.9% for renal insufficiency, respectively.

CABG was performed significantly more often at hospitals without SOS than those with SOS (2.3% vs. 1.5%).

An exploratory analysis of the intention-to-treat population that excluded CABG as part of TVR showed that MACE rates were 11.9% at hospitals without SOS and 10.5% at those with SOS.

An exploratory per protocol analysis also showed higher MACE rates at hospitals without SOS than at those with SOS (12% and 10.4% respectively), although these differences are within the range of noninferiority used in other recent stent trials, Dr. Aversano noted.

TVR may be higher in patients having PCI at hospitals without cardiac surgery because of a higher rate of bare metal stents used, which is a more conservative approach to PCI at relatively inexperienced hospitals, and a lack of a full complement of interventional devices, he suggested.

Johns Hopkins University and participating sites provided support for this trial. Dr. Brindis is a consultant to Ivivi Health Sciences. Dr. Harrington disclosed ties with numerous pharmaceutical companies. Dr. Aversano reported that he has no conflicts of interest.

Pages

Recommended Reading

Experts Can't Pin Down Best Carotid Atherosclerosis Treatments
MDedge Cardiology
Vytorin Falls Short of New Indication for CKD Patients
MDedge Cardiology
Updated Criteria Revisit PCI Appropriateness Scenarios
MDedge Cardiology
Her Chief Complaint Is ... And by the Way She’s Also Pregnant
MDedge Cardiology
Stents Don't Surpass Pills in Stable CAD
MDedge Cardiology
Desensitization Succeeds for Aspirin-Allergic Heart Patients
MDedge Cardiology
Slight Hyperglycemia Risk Shouldn't Deter Statin Use
MDedge Cardiology
Arthritis Plus Hypothyroidism Ups Women's CVD Risk
MDedge Cardiology
Second Lorcaserin Review to Address Risk/Benefit Tradeoffs
MDedge Cardiology
Vorapaxar Cuts Cardiovascular Events but Boosts Bleeding
MDedge Cardiology