Performing Percutaneous Coronary Intervention Without On-site Cardiac Surgery Is Not a License for Percutaneous Coronary Intervention Instead of Coronary Artery Bypass Grafting

To the Editor Data presented by Goel et al¹ demonstrate an increase over time in the number of percutaneous coronary interventions (PCIs) performed at centers without cardiac surgery (CS), regardless of the indication. In addition, the authors report similar risk-adjusted procedural mortality at centers with and without CS. They conclude that their findings support “further thoughtful and careful expansion of centers without on-site CS.”¹