ACC and AHA Release New PCI Checklist

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The American College of Cardiology and American Heart Association along with several other organizations have released new performance and quality measures for percutaneous coronary intervention. The report is published in December 23 issue of Journal of the American College of Cardiology and Circulation.

Written in collaboration with the Society for Cardiovascular Angiography and Interventions, Physician Consortium for Performance Improvement, and National Committee for Quality Assurance, the group highlights 11 performance and quality metrics that should be recorded for patients undergoing PCI, as follows.

Documentation of the reasons for PCI.
Appropriate reason for elective PCI (safety vs benefit trade–offs).
Prior to PCI, evaluation of the patient’s ability to take dual antiplatelet therapy.
Use of embolic protection devices in the treatment of saphenous vein graft disease.
Renal function assessment prior to PCI and documentation of the amount of contrast used.
Documentation of the amount radiation used during the procedure.
Prescription of optimal medical therapy post–PCI.
Referral to an outpatient cardiac rehabilitation clinic.
Participation in a regional or national PCI registry.
Average annual volume of PCIs performed by physician in the last two years.
Average annual number of PCIs performed at the hospital in the last calendar year.

These measures, according to the writing committee, can help serve as vehicles to accelerate appropriate translation of scientific evidence into clinical practice.

Complex, determining procedural appropriateness with PCI requires documenting the presence and severity of angina symptoms, use of anti–anginal medications, and presence and severity of stenosis, according to the new report.

The present PCI performance measure set represents the first time in the cardiology literature that a specific performance measure has been constructed to address procedural appropriateness.