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Elective PCI: 12% of Cases Are Inappropriate

Author and Disclosure Information
Cutting Inappropriate Cases Requires Better Documentation and Patient Selection

FROM THE ANNUAL MEETING OF THE AMERICAN COLLEGE OF CARDIOLOGY

To address this issue, the ACC should develop a "real-time decision aid" that encourages interventionalists to "take a step back" during a catheterization to review a patient’s history and make a more informed decision on the need for PCI, Dr. Chan said. The interventional cardiologist should review the degree of symptoms a patient has had and the evidence of ischemia, and take those findings into account when deciding whether the patient needs PCI.

Dr. Chan and Dr. McNulty said they had no disclosures.