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Trained and supervised physician assistants can safely perform diagnostic cardiac catheterization with coronary angiography.

Publication ,  Journal Article
Krasuski, RA; Wang, A; Ross, C; Bolles, JF; Moloney, EL; Kelly, LP; Harrison, JK; Bashore, TM; Sketch, MH
Published in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
June 2003

Using a prospectively collected database of patients undergoing cardiac catheterization, we sought to compare the outcomes of procedures performed by supervised physician assistants (PAs) with those performed by supervised cardiology fellows-in-training. Outcome measures included procedural length, fluoroscopy use, volume of contrast media, and complications including myocardial infarction, stroke, arrhythmia requiring defibrillation or pacemaker placement, pulmonary edema requiring intubation, and vascular complications. Class 3 and 4 congestive heart failure was more common in patients who underwent procedures by fellows compared with those undergoing procedures by PAs (P = 0.001). PA cases tended to be slightly faster (P = 0.05) with less fluoroscopic time (P < 0.001). The incidence of major complications within 24 hr of the procedure was similar between the two groups (0.54% in PA cases and 0.58% in fellow cases). Under the supervision of experienced attending cardiologists, trained PAs can perform diagnostic cardiac catheterization, including coronary angiography, with complication rates similar to those of cardiology fellows-in-training.

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Published In

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

DOI

EISSN

1522-726X

ISSN

1522-1946

Publication Date

June 2003

Volume

59

Issue

2

Start / End Page

157 / 160

Related Subject Headings

  • Stroke Volume
  • Prospective Studies
  • Prevalence
  • Physician Assistants
  • Organization and Administration
  • North Carolina
  • Middle Aged
  • Male
  • Inservice Training
  • Humans
 

Citation

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Krasuski, R. A., Wang, A., Ross, C., Bolles, J. F., Moloney, E. L., Kelly, L. P., … Sketch, M. H. (2003). Trained and supervised physician assistants can safely perform diagnostic cardiac catheterization with coronary angiography. Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions, 59(2), 157–160. https://doi.org/10.1002/ccd.10491
Krasuski, Richard A., Andrew Wang, Carole Ross, John F. Bolles, Erica L. Moloney, Larry P. Kelly, J Kevin Harrison, Thomas M. Bashore, and Michael H. Sketch. “Trained and supervised physician assistants can safely perform diagnostic cardiac catheterization with coronary angiography.Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions 59, no. 2 (June 2003): 157–60. https://doi.org/10.1002/ccd.10491.
Krasuski RA, Wang A, Ross C, Bolles JF, Moloney EL, Kelly LP, et al. Trained and supervised physician assistants can safely perform diagnostic cardiac catheterization with coronary angiography. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions. 2003 Jun;59(2):157–60.
Krasuski, Richard A., et al. “Trained and supervised physician assistants can safely perform diagnostic cardiac catheterization with coronary angiography.Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions, vol. 59, no. 2, June 2003, pp. 157–60. Epmc, doi:10.1002/ccd.10491.
Krasuski RA, Wang A, Ross C, Bolles JF, Moloney EL, Kelly LP, Harrison JK, Bashore TM, Sketch MH. Trained and supervised physician assistants can safely perform diagnostic cardiac catheterization with coronary angiography. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions. 2003 Jun;59(2):157–160.
Journal cover image

Published In

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

DOI

EISSN

1522-726X

ISSN

1522-1946

Publication Date

June 2003

Volume

59

Issue

2

Start / End Page

157 / 160

Related Subject Headings

  • Stroke Volume
  • Prospective Studies
  • Prevalence
  • Physician Assistants
  • Organization and Administration
  • North Carolina
  • Middle Aged
  • Male
  • Inservice Training
  • Humans