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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003ERoutine percutaneous coronary intervention (PCI) can be performed safely by a specially trained team of cardiologists, registered nurses, and cardiovascular technicians in a public hospital, according to findings from a pilot PCI training program.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EInterventional Techniques \u0026amp; Devices\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003ERoutine percutaneous coronary intervention (PCI) can be performed safely by a specially trained team of cardiologists, registered nurses, and cardiovascular technicians in a public hospital, according to findings from a pilot PCI training program. Clifford Thomas, MD, Eric Williams Medical Sciences Complex (EWMSC), Mount Hope, Trinidad and Tobago, described outcomes from the first 101 procedures that were performed as part of the pilot program at EWMSC.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EWith a high prevalence of coronary artery disease (CAD) and few interventional cardiologists in Trinidad and Tobago, the growing needs for PCI were not being met. Physicians at the EWMSC initiated a PCI training program for cardiologists, nurses, and technicians in September 2008. During the first 20 months of the program, 101 patients were treated.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EThe mean patient age was 56 years, and 69 patients (69%) were male. At the time of presentation, the mean left ventricular ejection fraction (LVEF) was 56%. The majority of patients (71%) had class III or IV angina, and one patient required primary PCI for ST-segment elevation myocardial infarction. Patients were more likely to receive drug-eluting stents than bare-metal stents. Following PCI, all patients were started on 2 years of anticoagulation therapy with clopidogrel.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EAll procedures met the standard of clinical success, which was defined as a combination of procedural success (\u0026lt;10% stenosis) with no major complications. The mean diameter stenosis was reduced from 86% at baseline to 8% after PCI. No patients required repeat revascularization during the index hospitalization, and no deaths were reported. One patient required elective coronary artery bypass grafting after PCI failed to dilate a calcified lesion.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EThese preliminary results support the expansion of the PCI training program, Dr. Thomas said. The program will continue to increase the number of skilled interventional cardiologists and provide increased access to PCI for public sector patients. The team is currently evaluating procedural success rates by lesion severity, as well as long-term outcomes among patients who have received treatment as part of the program.\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2010 MD Conference Express\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/10\/7\/17.1.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzmpqp\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}