The article by Weaver and co-workers (p 819) is a good article, demonstrating again that a very useful but potentially dangerous procedure can be well done at a low risk in a nonuniversity hospital. It also contains an excellent review of the literature. There is, however, no discussion in the article regarding the quality of angiography being performed at their community hospital and whether any of the angiography had to be repeated at the institution where the coronary bypass surgery was performed. Furthermore, from my own experience and that of my colleagues, some of their conclusions appear to differ from ours.1-3
Our experience at St Luke's Hospital (Milwaukee) (a community hospital with university affiliation) has recently undergone review for the years 1973 to 1974 (more than 3,200 consecutive coronary angiograms). Our experience began most intensively seven years ago with our preoperative and postoperative assessment of patients undergoing bypass revascularization
Manley JC. Coronary Arteriography Standards of Excellence for the Community Hospital. JAMA. 1976;235(8):846–847. doi:10.1001/jama.1976.03260340052025
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