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Elective PCI Safe Without Surgical Backup

Sun, 03/25/2012 - 12:13pm
Crystal Phend

Elective percutaneous coronary intervention (PCI) outcomes over the mid term appear similar regardless of a hospital's onsite cardiac surgery capabilities, a trial found.

Major adverse cardiac events came out statistically similar at nine months, with rates of 11.2 percent with and 12.1 percent without a surgeon on hand (P=0.05 for noninferiority), Thomas Aversano, MD, of Johns Hopkins, and colleagues reported here at the American College of Cardiology meeting and simultaneously online in the New England Journal of Medicine.

Mortality rates over six weeks were likewise similar at 1.0 percent and 0.9 percent, respectively, meeting noninferiority criteria at P=0.004 in the final results of the CPORT-E trial, similar to what had been reported in initial results at the American Heart Association meeting last fall.

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