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Abstract

Recommended Article

Effect of Systolic and Diastolic Blood Pressure on Cardiovascular Outcomes Large-Bore Radial Access for Complex PCI: A Flash of COLOR With Some Shades of Grey Improving the Design of Future PCI Trials for Stable Coronary Artery Disease: JACC State-of-the-Art Review Spontaneous Coronary Artery Dissection: JACC State-of-the-Art Review Long-Term Outcomes in Women and Men Following Percutaneous Coronary Intervention Radionuclide Image-Guided Repair of the Heart Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention Randomized Comparison Between Radial and Femoral Large-Bore Access for Complex Percutaneous Coronary Intervention

Editorial2018 Oct 1;92(4):651-652.

JOURNAL:Catheter Cardiovasc Interv. Article Link

Volume brings value

Gogas BD, Chen SL.

ABSTRACT


  • 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.