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0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f trailer <]>> startxref 116 %%EOF Evaluación de las revascularizaciones coronarias denominadas inapropiadas por la nueva clasificación de adecuación de procedimientos en un centro cardiovascular de alta complejidad - Archivo PPCT

Evaluación de las revascularizaciones coronarias denominadas inapropiadas por la nueva clasificación de adecuación de procedimientos en un centro cardiovascular de alta complejidad;
Evaluation of Inappropriate Coronary Revascularization Procedures according to the New Classification in a Cardiovascular Tertiary Referral Center

Creators:Albertal, Mariano; Instituto Cardiovascular de Buenos Aires, Ciudad Autónoma Buenos Aires, Candiello, Alfonsina, Cura, Fernando, Trivi, Marcelo, Thierer, Jorge, Padilla, Lucio, Nau, Gerardo, Navia, Daniel, Belardi, Jorge
2011-12-16

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RESUMENIntroducciónUna revascularización coronaria inapropiada conlleva un riesgo muchas veces evitable para el paciente y se traduce en gastos innecesarios para el sistema de salud. Recientemente, los miembros de un panel de expertos en enfermedades cardiovasculares evaluaron el criterio de adecuación de la indicación de revascularización coronaria en varios escenarios clínicos comunes.ObjetivosIdentificar la proporción de revascularización coronaria inapropiada tanto percutánea (ATC) como quirúrgica (CRM) conforme al criterio de adecuación en un centro de alta complejidad cardiovascular.Material y métodosDesde enero hasta mayo de 2009 se incluyeron en forma consecutiva todos los pacientes derivados a nuestro centro con la indicación clínica de coronariografía que presentaron enfermedad coronaria significativa (estenosis ≥ 70%) y fueron sometidos a revascularización percutánea o quirúrgica. Se evaluó en este grupo la tasa de indicación inapropiada de revascularización coronaria conforme el criterio de adecuación recientemente publicado.

BackgroundInappropriate use of revascularization may be potentially harmful to patients and generate unwarranted costs to the health care system. Recently, the members of an expert panel conducted an appropriateness review of common clinical scenarios in which coronary revascularization is frequently considered.ObjectivesTo identify the proportion of inappropriate coronary revascularization procedures –percutaneous (PTCA) and surgical (CABG) – in a cardiovascular tertiary referral center according to appropriateness criterion.Material and MethodsWe consecutively included all patients referred to our center for coronary angiography from January to May 2009 with a significant coronary stenosis (≥ 70%) who underwent percutaneous or surgical revascularization, and evaluated the rate of inappropriate revascularization according to appropriateness criterion recently published.ResultsFrom a total of 568 coronary angiographies, 404 (71.2%) had at least a coronary stenosis ≥70%; 81 patients underwent CABGS (20%) and 295 PTCA (73%). In these 376 revascularized patients, the indication was considered inappropriate in 15 (4%), all of them in the PTCA group (15/295; 5%), while only 2 patients with multivessel disease (n=172, 1.2%) underwent inappropriate revascularization.ConclusionsIn a cardiovascular tertiary referral center, the proportion of inappropriate coronary revascularization procedures (percutaneous or surgical) was low. Appropriateness criterion may be an applicable tool for decision-making in patients with coronary artery disease and for quality control in the departments of cardiology.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 78, No 6 (2010); 507-511, Argentine Journal of Cardiology; Vol 78, No 6 (2010); 507-511

Citación

Albertal, Mariano; Instituto Cardiovascular de Buenos Aires, Ciudad Autónoma Buenos Aires et al., “Evaluación de las revascularizaciones coronarias denominadas inapropiadas por la nueva clasificación de adecuación de procedimientos en un centro cardiovascular de alta complejidad,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8014.

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Autor

Albertal, Mariano; Instituto Cardiovascular de Buenos Aires, Ciudad Autónoma Buenos Aires
Candiello, Alfonsina
Cura, Fernando
Trivi, Marcelo
Thierer, Jorge
Padilla, Lucio
Nau, Gerardo
Navia, Daniel
Belardi, Jorge

Fuente

Revista Argentina de Cardiología; Vol 78, No 6 (2010); 507-511
Argentine Journal of Cardiology; Vol 78, No 6 (2010); 507-511

Editor

Sociedad Argentina de Cardiología

Fecha

2011-12-16

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

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spa
eng

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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion