Rationale for on-site cardiac surgery for primary angioplasty: A time for reappraisal

Mandeep Singh, Henry H. Ting, Peter B. Berger, Kirk N. Garratt, David Holmes, Bernard J. Gersh

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Since the early 1990s, with significant improvement in the procedural success of percutaneous coronary interventions (PCIs), there has been a concomitant reduction in the need for emergency coronary artery bypass graft surgery. This review article focuses on the need for on-site cardiac surgery in patients with acute myocardial infarction undergoing primary angioplasty at centers without on-site cardiac surgical backup. It gives an overview of the need for emergency bypass surgery in both the large trial setting and the community hospital setting. Special consideration is also given to the risks and benefits of primary angioplasty compared with thrombolytic therapy, transfer to an institution with an on-site cardiac surgical facility compared with primary PCI, the frequency and indications for emergency cardiac surgery related and unrelated to primary angioplasty and the requirements for primary angioplasty that must be met in hospitals without the capability of on-site cardiac surgery.

Original languageEnglish (US)
Pages (from-to)1881-1889
Number of pages9
JournalJournal of the American College of Cardiology
Volume39
Issue number12
DOIs
StatePublished - Jun 19 2002

Fingerprint

Angioplasty
Thoracic Surgery
Emergencies
Percutaneous Coronary Intervention
Thrombolytic Therapy
Community Hospital
Coronary Artery Bypass
Myocardial Infarction
Transplants

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Rationale for on-site cardiac surgery for primary angioplasty : A time for reappraisal. / Singh, Mandeep; Ting, Henry H.; Berger, Peter B.; Garratt, Kirk N.; Holmes, David; Gersh, Bernard J.

In: Journal of the American College of Cardiology, Vol. 39, No. 12, 19.06.2002, p. 1881-1889.

Research output: Contribution to journalArticle

Singh, Mandeep ; Ting, Henry H. ; Berger, Peter B. ; Garratt, Kirk N. ; Holmes, David ; Gersh, Bernard J. / Rationale for on-site cardiac surgery for primary angioplasty : A time for reappraisal. In: Journal of the American College of Cardiology. 2002 ; Vol. 39, No. 12. pp. 1881-1889.
@article{03d47c52a8f249b68e55f251fd133949,
title = "Rationale for on-site cardiac surgery for primary angioplasty: A time for reappraisal",
abstract = "Since the early 1990s, with significant improvement in the procedural success of percutaneous coronary interventions (PCIs), there has been a concomitant reduction in the need for emergency coronary artery bypass graft surgery. This review article focuses on the need for on-site cardiac surgery in patients with acute myocardial infarction undergoing primary angioplasty at centers without on-site cardiac surgical backup. It gives an overview of the need for emergency bypass surgery in both the large trial setting and the community hospital setting. Special consideration is also given to the risks and benefits of primary angioplasty compared with thrombolytic therapy, transfer to an institution with an on-site cardiac surgical facility compared with primary PCI, the frequency and indications for emergency cardiac surgery related and unrelated to primary angioplasty and the requirements for primary angioplasty that must be met in hospitals without the capability of on-site cardiac surgery.",
author = "Mandeep Singh and Ting, {Henry H.} and Berger, {Peter B.} and Garratt, {Kirk N.} and David Holmes and Gersh, {Bernard J.}",
year = "2002",
month = "6",
day = "19",
doi = "10.1016/S0735-1097(02)01901-0",
language = "English (US)",
volume = "39",
pages = "1881--1889",
journal = "Journal of the American College of Cardiology",
issn = "0735-1097",
publisher = "Elsevier USA",
number = "12",

}

TY - JOUR

T1 - Rationale for on-site cardiac surgery for primary angioplasty

T2 - A time for reappraisal

AU - Singh, Mandeep

AU - Ting, Henry H.

AU - Berger, Peter B.

AU - Garratt, Kirk N.

AU - Holmes, David

AU - Gersh, Bernard J.

PY - 2002/6/19

Y1 - 2002/6/19

N2 - Since the early 1990s, with significant improvement in the procedural success of percutaneous coronary interventions (PCIs), there has been a concomitant reduction in the need for emergency coronary artery bypass graft surgery. This review article focuses on the need for on-site cardiac surgery in patients with acute myocardial infarction undergoing primary angioplasty at centers without on-site cardiac surgical backup. It gives an overview of the need for emergency bypass surgery in both the large trial setting and the community hospital setting. Special consideration is also given to the risks and benefits of primary angioplasty compared with thrombolytic therapy, transfer to an institution with an on-site cardiac surgical facility compared with primary PCI, the frequency and indications for emergency cardiac surgery related and unrelated to primary angioplasty and the requirements for primary angioplasty that must be met in hospitals without the capability of on-site cardiac surgery.

AB - Since the early 1990s, with significant improvement in the procedural success of percutaneous coronary interventions (PCIs), there has been a concomitant reduction in the need for emergency coronary artery bypass graft surgery. This review article focuses on the need for on-site cardiac surgery in patients with acute myocardial infarction undergoing primary angioplasty at centers without on-site cardiac surgical backup. It gives an overview of the need for emergency bypass surgery in both the large trial setting and the community hospital setting. Special consideration is also given to the risks and benefits of primary angioplasty compared with thrombolytic therapy, transfer to an institution with an on-site cardiac surgical facility compared with primary PCI, the frequency and indications for emergency cardiac surgery related and unrelated to primary angioplasty and the requirements for primary angioplasty that must be met in hospitals without the capability of on-site cardiac surgery.

UR - http://www.scopus.com/inward/record.url?scp=0037134833&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037134833&partnerID=8YFLogxK

U2 - 10.1016/S0735-1097(02)01901-0

DO - 10.1016/S0735-1097(02)01901-0

M3 - Article

C2 - 12084584

AN - SCOPUS:0037134833

VL - 39

SP - 1881

EP - 1889

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

SN - 0735-1097

IS - 12

ER -