Volume brings value
Gogas BD, Chen SL.
What the article teaches
The article highlights the competency of high volume
operators across institutions that despite moving to lower volume
centers retain their good clinical outcomes.
How it will impact practice
Although current U.S. based guidelines suggest a volume of at least 50 PCIs annually for operators to retain clinical competency this estimate may be a poor index to guarantee optimal clinical outcomes.
What new research/study would help answer the question
New studies using a comprehensive definition to define an experienced operator from the Asia‐Pacific—a geographic area that has pioneered in complex coronary interventions—need to elute on the threshold of adequate clinical competency stratified according to clinical complexity.