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Editorial
December 14, 2011

The Trials and Tribulations of Percutaneous Coronary Intervention in Hospitals Without On-site CABG Surgery

Author Affiliations

Author Affiliations: Cardiac Catheterization Laboratory and Vascular Medicine, VA Boston Healthcare System, Brigham and Women's Hospital, Harvard Medical School, Boston Massachusetts.

JAMA. 2011;306(22):2507-2509. doi:10.1001/jama.2011.1824

Historically, on-site coronary artery bypass grafting (CABG) surgery was not only required for percutaneous coronary angioplasty but operating rooms were also usually on standby until the angioplasty procedure was deemed successful.1 In the 1980s, abrupt and subacute closure of the coronary artery at the angioplasty site due to dissection and associated thrombus, were not uncommon and 5% to 10% of patients required emergency CABG or CABG surgery within 24 hours.2

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