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Switching P2Y12-receptor inhibitors in patients with coronary artery disease Routine Continuous Electrocardiographic Monitoring Following Percutaneous Coronary Interventions Multivessel Versus Culprit-Vessel Percutaneous Coronary Intervention in Cardiogenic Shock Mode of Death in Heart Failure With Preserved Ejection Fraction The spectrum of chronic coronary syndromes: genetics, imaging, and management after PCI and CABG 稳定性冠心病诊断与治疗指南 Macrophage MST1/2 Disruption Impairs Post-Infarction Cardiac Repair via LTB4 Burden of 30-Day Readmissions After Percutaneous Coronary Intervention in 833,344 Patients in the United States: Predictors, Causes, and Cost 2019 ESC Guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC): Developed in collaboration with the Association for European Paediatric and Congenital Cardiology (AEPC)he management of patients with) A Randomized Trial to Assess Regional Left Ventricular Function After Stent Implantation in Chronic Total Occlusion The REVASC Trial

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.