{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:12:54Z","timestamp":1770739974943,"version":"3.49.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>There are limited contemporary, national data describing diagnostic cardiac catheterization with subsequent percutaneous coronary intervention (ad hoc percutaneous coronary intervention [PCI]) performed by an invasive-diagnostic and interventional (Dx\/IC) operator team versus solo interventional operator (solo-IC). Using the CathPCI Registry, this study aimed at analyzing trends and outcomes in ad hoc PCI among Dx\/IC versus solo-IC operators.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Quarterly rates (January 2012 to March 2018) of ad hoc PCI cases by Dx\/IC and solo-IC operators were obtained. Odds of inhospital major adverse cardiovascular events, net adverse cardiovascular events (ie, composite major adverse cardiovascular event+bleeding), and rarely appropriate PCI were estimated using multivariable regression.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>From 1077 sites, 1 262 948 patients were included. The number of invasive-diagnostic operators and cases performed by Dx\/IC teams decreased from nearly 9% to 5% during the study period. Patients treated by Dx\/IC teams were more often White and had fewer comorbidities compared with patients treated by solo-IC operators. Considerable variation existed across sites, and over two-fifths of sites had 0% ad hoc PCI performed by Dx\/IC. In adjusted analyses, ad hoc performed by Dx\/IC had similar risks of major adverse cardiovascular event (OR, 1.04 [95% CI, 0.97\u20131.11]) and net adverse cardiovascular events (OR, 0.98 [95% CI, 0.94\u20131.03]) compared with solo-IC. Rarely appropriate PCI, although low overall (2.1% versus 1.9%) occurred more often by Dx\/IC compared with solo-IC (OR, 1.20 [95% CI, 1.13\u20131.26]).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Contemporary, nationwide data from the CathPCI Registry demonstrates the number of Dx\/IC operator teams and cases has decreased but that case volume is stable among operators. Outcomes were independent of operator type, which supports current practice patterns. The finding of a higher risk of rarely appropriate PCI in Dx\/IC teams should be further studied.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.121.011086","type":"journal-article","created":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T10:00:54Z","timestamp":1640167254000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Percutaneous Coronary Intervention Following Diagnostic Angiography by Noninterventional Versus Interventional Cardiologists: Insights From the CathPCI Registry"],"prefix":"10.1161","volume":"15","author":[{"given":"Fabio V.","family":"Lima","sequence":"first","affiliation":[{"name":"Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, RI (F.V.L., H.D.A., V.K., J.D.A.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratik","family":"Manandhar","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Durham, NC (P.M., D.W., T.W., E.H.W.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Wojdyla","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Durham, NC (P.M., D.W., T.W., E.H.W.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Wang","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Durham, NC (P.M., D.W., T.W., E.H.W.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9061-7893","authenticated-orcid":true,"given":"Herbert D.","family":"Aronow","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, RI (F.V.L., H.D.A., V.K., J.D.A.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishnu","family":"Kadiyala","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, RI (F.V.L., H.D.A., V.K., J.D.A.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8442-6150","authenticated-orcid":true,"given":"E. Hope","family":"Weissler","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Durham, NC (P.M., D.W., T.W., E.H.W.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nidhi","family":"Madan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases, Rush University Medical Center, Chicago, IL (N.M.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8525-8454","authenticated-orcid":true,"given":"Ian C.","family":"Gilchrist","sequence":"additional","affiliation":[{"name":"Penn State Heart and Vascular Institute, Hershey, PA (I.C.G.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1653-6443","authenticated-orcid":true,"given":"Cindy","family":"Grines","sequence":"additional","affiliation":[{"name":"Northside Hospital Cardiovascular Institute, Atlanta, GA (C.G.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2560-0155","authenticated-orcid":true,"given":"J. Dawn","family":"Abbott","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, RI (F.V.L., H.D.A., V.K., J.D.A.)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy647"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27841"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(01)01372-9"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-303379"},{"key":"e_1_3_2_6_2","unstructured":"American College of Cardiology. National cardiovascular data registry. 2020. https:\/\/cvquality.acc.org\/NCDR-Home\/registries\/hospital-registries\/cathpci-registry. Last visited: May 15 2021."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.12.005"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.04.032"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2018.4376"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2004.029454"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24701"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12082"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2014.07.013"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24366"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2011.08.015"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.015231"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3181fcae66"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.08.966"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26551"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318299cd8a"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.020"}],"container-title":["Circulation: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCINTERVENTIONS.121.011086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T02:23:05Z","timestamp":1715566985000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCINTERVENTIONS.121.011086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1161\/CIRCINTERVENTIONS.121.011086"],"URL":"https:\/\/doi.org\/10.1161\/circinterventions.121.011086","relation":{},"ISSN":["1941-7640","1941-7632"],"issn-type":[{"value":"1941-7640","type":"print"},{"value":"1941-7632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"2021-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e011086"}}