Operator Experience Impacts Prognosis for Left Main PCI

Share this content:
Operator Experience Impacts Prognosis for Left Main PCI
Operator Experience Impacts Prognosis for Left Main PCI

WEDNESDAY, Oct. 19, 2016 (HealthDay News) -- For patients undergoing left main coronary artery (LM) percutaneous coronary intervention (PCI), operator experience is associated with prognosis, according to a study published in the Oct. 24 issue of the JACC: Cardiovascular Interventions.

Bo Xu, M.B.B.S., from the Fu Wai Hospital in Beijing, and colleagues compared outcomes for 1,948 patients undergoing unprotected LM PCI according to operator experience. The 25 operators were classified as experienced (seven operators; had performed at least 15 LM PCIs per year for at least three consecutive years) and less experienced (18 operators).

The researchers found that 73 percent of LM PCI procedures were performed by experienced operators and 27 percent by less experienced operators. More complex and extensive coronary artery disease was seen for patients treated by experienced operators. Patients treated by experienced operators had lower unadjusted and adjusted risks for cardiac death at 30-day (unadjusted hazard ratio, 0.23; adjusted hazard ratio, 0.22) and three-year (unadjusted hazard ratio, 0.53; adjusted hazard ratio, 0.49) follow-up. When operator experience was added to hazard models containing the Synergy Between PCI With Taxus and Cardiac Surgery (SYNTAX) score or SYNTAX score II, discrimination improved (P = 0.03 and 0.02, respectively). Operator experience was not associated with distal bifurcation LM lesion, two-stent bifurcation stenting, and intravascular ultrasound use (all P > 0.10).

"Operator experience is an important factor in a complex intervention such as LM PCI," the authors write.

Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

PSA Screening Rates Have Leveled Off in U.S.

PSA Screening Rates Have Leveled Off in U.S.

Decline followed recommendations from U.S. Preventive Services Task Force

Surgeon General Dismissed by Trump Administration

Surgeon General Dismissed by Trump Administration

Had served just over two years of his four-year term

Most Patients Willing to Provide Sexual Orientation Data

Most Patients Willing to Provide Sexual Orientation Data

However, emergency department providers expect most to refuse to provide the information

is free, fast, and customized just for you!

Already a member?

Sign In Now »