SCAI 2020: Guidelines, Position Statements, and More

The Society for Cardiovascular Angiography and Interventions (SCAI), holding its annual meeting virtually due to the COVID-19 pandemic, recently released several position statements and consensus documents.

Expert Consensus: Managing Patients with Out-of-Hospital Cardiac Arrest

“We emphasized that out of hospital cardiac arrest treatment is a continuum from pre-hospital, hospital, and post-hospital care which requires a multidisciplinary approach to enhance both survival and return to a good quality of life,” Amir Lotfi, MD, FSCAI, chair of the document writing group and interventional cardiologist at Baystate Cardiology in Springfield, MA, said in a press release. “With this document our goal is to increase standardized language and decrease variation in care in order to improve outcome.”

Position Statement: Performance of Percutaneous Coronary Intervention in Ambulatory Surgical Centers

This position statement, according to a news release, makes facility and equipment standards recommendations, procedural and periprocedural standards, transfer protocols, and operator standards. It also advises that only patients considered appropriate for same-day discharge should be considered for intervention in ambulatory surgical centers.

Position Statement: Optimal Percutaneous interventional therapy for Complex Coronary Artery Disease (With Video)

This document represents the work of a multidisciplinary group of experts and provides an update on addressing evidence regarding percutaneous coronary intervention in patients with complex clinical and anatomical features, as well as guidance for achieving optimal outcomes. Farouc Jaffer, MD, of Massachusetts General Hospital, provides insight on the document.

Device Selection Guidelines: Aorto-iliac Arterial Interventions

The SCAI has also released new device selection guidelines based on comparative effectiveness data for devices for aorto-iliac interventions. Using a modified Delphi panel methodology, the writing group formed recommendations based on data extracted from a systematic evidence review. They then graded recommendations for 11 anatomical scenarios based on recommendation strength and certainty of evidence.