Catheterization and Cardiovascular Interventions
Volume 92, Issue 4 pp. 651-652
Coronary Artery Disease

Volume brings value

Bill D. Gogas MD, PhD, FACC, 

Bill D. Gogas MD, PhD, FACC

Nanjing First Hospital, Nanjing Medical University, Nanjing, China

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Shao-Liang Chen MD, PhD, FACC, FSCAI, 

Corresponding Author

Shao-Liang Chen MD, PhD, FACC, FSCAI

Nanjing First Hospital, Nanjing Medical University, Nanjing, China

Correspondence

Shao-Liang Chen, MD, PhD, Department of Cardiology and Cath Lab, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Email: [email protected]

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First published: 19 October 2018
https://doi.org/10.1002/ccd.27884

Key Points

  • What the article teaches

    The article highlights the competency of high volume operators across institutions that despite moving to lower volume centers retain their good clinical outcomes.

  • How it will impact practice

    Although current U.S. based guidelines suggest a volume of at least 50 PCIs annually for operators to retain clinical competency this estimate may be a poor index to guarantee optimal clinical outcomes.

  • What new research/study would help answer the question

    New studies using a comprehensive definition to define an experienced operator from the Asia-Pacific—a geographic area that has pioneered in complex coronary interventions—need to elute on the threshold of adequate clinical competency stratified according to clinical complexity.

CONFLICT OF INTEREST

Nothing to report.

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