The results of MASS COMM support the safety of performing percutaneous coronary intervention at centres without on-site cardiothoracic surgery services. To translate these findings into clinical practice, robust quality oversight programmes, with direct measurement of procedural outcomes and complications, are needed. The VA CART programme provides a model for such a strategy.
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J. S. Rumsfeld is Chief Science Officer for the National Cardiovascular Data Registry. T. M. Maddox declares no competing interests.
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Maddox, T., Rumsfeld, J. PCI without surgical backup—evidence-based, but wise?. Nat Rev Cardiol 10, 301–302 (2013). https://doi.org/10.1038/nrcardio.2013.68
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DOI: https://doi.org/10.1038/nrcardio.2013.68
