| Surgical standby for percutaneous transluminal coronary angioplasty: a survey of patterns of practice. | |
| | |
MedLine Citation:
|
PMID: 2369227 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
To determine patterns of surgical standby for percutaneous transluminal coronary angioplasty (PTCA), a questionnaire was mailed to 196 US institutions in which PTCA and coronary artery bypass grafting (CABG) are performed regularly. Eighty-nine responses (46%) were received and comprise this report. Of responding institutions, the mean number of hospital beds was 615. In 1987, these institutions performed a mean of 337 PTCAs and 558 open-heart surgical procedures. The rate of emergency CABG for PTCA complications (occlusion, dissection, or coronary perforation) was 4.4% +/- 0.3%, whereas the rate of urgent CABG (within 24 hours) for PTCA failure was 3.7 +/- 0.6%. The incidence of emergency CABG for PTCA complications was higher (5.1% +/- 0.6%) among low-volume PTCA centers (less than 250 cases per year) than at high-volume centers (more than 250 cases per year) (3.7% +/- 0.3%; p less than 0.05). The most common pattern of surgical backup was to maintain an open operating room on standby (57/89, 64%), and the second most common pattern was to make the next open operating room available, allowing operating room access within 1 to 3 hours (21/89, 24%). Nearly a third of institutions (26/89, 29%) maintained a flexible backup arrangement according to PTCA risk. Routine pre-PTCA patient evaluation by surgeon and/or anesthesiologist occurred in 38% (34/89). Fees for standby services were charged by 51% of surgical teams (45/89), 39% of anesthesia teams (35/89), and 38% of operating room facilities (34/89).(ABSTRACT TRUNCATED AT 250 WORDS) |
| | |
Authors:
|
D E Cameron; D C Stinson; P S Greene; T J Gardner |
Related Documents
:
|
2893037 - Thrombolysis with tissue plasminogen activator in acute myocardial infarction: no addit... 11731687 - Controlled balloon inflation reduces long-term restenosis after percutaneous translumin... 10456827 - Audit and quality control in angioplasty in europe: procedural results of the aqua stud... 2963517 - Coronary blood flow velocity during percutaneous transluminal coronary angioplasty as a... 8112917 - Electrocardiographic characteristics indicating a risk of irreversibly impaired myocard... 1112007 - Echographic assessment of atrial transport, mitral movement, and ventricular performanc... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 50 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1990 Jul |
Date Detail:
|
Created Date: 1990-08-13 Completed Date: 1990-08-13 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 35-9 Citation Subset: AIM; IM |
Affiliation:
|
Johns Hopkins Medical Institutions, Baltimore, Maryland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angioplasty, Transluminal, Percutaneous Coronary*
/
economics,
statistics & numerical data Attitude of Health Personnel Consumer Satisfaction Coronary Artery Bypass* / economics, statistics & numerical data Coronary Disease / surgery, therapy* Costs and Cost Analysis Emergencies Hospital Bed Capacity Humans Physician's Practice Patterns* Risk Factors |
| Comments/Corrections | |
Comment In:
|
Ann Thorac Surg. 1990 Jul;50(1):3-4
[PMID:
2369226
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Subvalvar aortic stenosis: timing of operation.
Next Document: Four years' experience with fibrin sealant in thoracic and cardiovascular surgery.