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Unprotected Left Main Coronary Intervention

In patients with significant obstructive left main coronary artery disease, initial studies showed that coronary artery bypass graft surgery (CABG) improved long-term survival compared with medical therapy.1-3 Since publication of these studies, CABG has been considered the standard of care for revascularization of left main coronary artery disease in the absence of previous bypass grafts to branches of the left coronary artery—so-called unprotected left main (ULM) revascularization.

AHA/ACC Key Data Elements and Definitions for Coronary Revascularization Published

April 27, 2020—The American College of Cardiology and American Heart Association's (ACC/AHA) Task Force on Clinical Data Standards have produced the “2020 AHA/ACC Key Data Elements and Definitions for Coronary Revascularization.” The document was published by Gregory J. Dehmer, MD, et al of the Writing Committee to Develop Clinical Data Standards for Coronary Revascularization in Journal of the American College of Cardiology (2020;75;1975–2088).

ACC/AHA Publish 2023 Clinical Performance Measures for Coronary Revascularization

July 28, 2023—The American Heart Association (AHA) and the American College of Cardiology (ACC) separately announced the publication of a report from the ACC/AHA Joint Committee on Performance Measures that addresses clinical performance and quality measures for coronary artery revascularization.

Cardiovascular Societies Publish Collaborative Statement on Live Case Demonstrations

September 21, 2010—A joint statement from major cardiovascular societies was published that outlines first-of-its-kind standards for institutions and medical practitioners to consider when performing and broadcasting live cardiovascular case demonstrations at medical meetings.

Expert Consensus Document Addresses PCI Without On-Site Surgical Backup

March 17, 2014—The Society for Cardiovascular Angiography and Intervention, the American College of Cardiology Foundation, and the American Heart Association have published an expert consensus document on percutaneous coronary intervention (PCI) without on-site surgical backup.

SCAI Publishes Expert Consensus Statement on PCI Without Surgery on Site

January 30, 2023—The Society for Cardiovascular Angiography & Interventions (SCAI) announced that a new expert consensus statement suggests that percutaneous coronary intervention (PCI) without surgery on site (no-SOS) is as safe as PCI at centers with on-site surgery across randomized controlled trials, observational studies, and international experiences.

ACC-CMS Program Provides Public Access to Hospital Quality Information on PCI

July 18, 2013—The American College of Cardiology (ACC) announced that information from the ACC national database of hospital records on stenting and angioplasty is now available to consumers.

Better Prognosis Seen for Left Main PCI Performed by High-Volume Operators

October 17, 2016—The American College of Cardiology (ACC) announced findings from an investigation conducted in China showing the importance of operator volume for outcomes of left main coronary artery percutaneous coronary intervention (PCI).

CMS MEDCAC Panel Reviews Evidence for Hospital and Heart Team Requirements for TAVR Programs

July 30, 2018—The Centers for Medicare & Medicaid Services (CMS) convened a panel of the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) on July 25 to seek recommendations regarding procedural volume requirements for hospitals and heart team members to begin and maintain transcatheter aortic valve replacement (TAVR) programs.