An analysis of NCDR Cath PCI registry showed that overall only 4.1 percent of PCIs were classified as inappropriate according to the 2009 coronary revascularization appropriate use criteria. However, there remains an opportunity to reduce unnecessary elective procedures.
Dr. Paul Chan from St. Luke's Mid-America Heart Institute in Kansas City, MO, presented results from a retrospective analysis of the NCDR Cath PCI registry at the American College of Cardiology's 2011 Scientific Session. The study includes over half a million procedures that were performed between July 2009 and June 2010 and is the largest of its kind. When PCI utilization was analyzed in aggregate, 84.6 percent of the procedures were classified as appropriate, 4.1 percent were deemed inappropriate, and 11.2 percent were classified as uncertain according to the coronary revascularization appropriate use criteria.
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