{"id":1373,"date":"2009-11-24T15:49:58","date_gmt":"2009-11-24T20:49:58","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/expand-or-restrict-primary-pci\/"},"modified":"2011-07-19T17:44:18","modified_gmt":"2011-07-19T21:44:18","slug":"expand-or-restrict-primary-pci","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2009\/11\/24\/expand-or-restrict-primary-pci\/","title":{"rendered":"Expand or Restrict Primary PCI?"},"content":{"rendered":"<p>At last week\u2019s AHA meeting, a late breaking clinical <a href=\"http:\/\/blogs.nejm.org\/cardioexchange\/community\/groupDiscussions?slPage=showDiscussionPost&amp;slGroupKey=11f44d8d-c78b-40f4-b86f-825fd9765778&amp;slForumPostKey=Cat%3AprivateForum%3A33765d20-f4e2-49f1-a512-afaf3f1ae84f%40D%7C9%3B36%7CCommGroup11f44d8d-c78b-40f4-b86f-825fd9765778%7CDiscussion%3Ad633149e-7cae-4098-921b-376ab3e57d9c&amp;onPage=1\">trial <\/a>reported that STEMI patients in Massachusetts who underwent primary PCI at hospitals without cardiac surgery on site had similar rates of death, MI, and target vessel revascularization at 1 year as those who underwent primary PCI at hospitals with cardiac surgery on site. \u00a0In contrast, the\u00a0recently released AHA\/ACC updated STEMI <a href=\"http:\/\/circ.ahajournals.org\/cgi\/content\/abstract\/CIRCULATIONAHA.109.192663v1\">guidelines <\/a>make the development of regional systems of STEMI care \u201ca matter of utmost importance.\u201d<br \/>\n\u00a0<br \/>\n<strong><em>Should primary PCI be limited to regional centers, or should it continue to be performed at hospitals without cardiac surgery on site to maximize access to it?<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>At last week\u2019s AHA meeting, a late breaking clinical trial reported that STEMI patients in Massachusetts who underwent primary PCI at hospitals without cardiac surgery on site had similar rates of death, MI, and target vessel revascularization at 1 year as those who underwent primary PCI at hospitals with cardiac surgery on site. \u00a0In contrast, [&hellip;]<\/p>\n","protected":false},"author":190,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,9],"tags":[],"class_list":["post-1373","post","type-post","status-publish","format-standard","hentry","category-general","category-interventional-cardiology"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1373","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/190"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1373"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1373\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1373"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1373"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1373"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}