6. Stents are a commodity
Wires have arrived
CTO efforts continue to evolve (a little)
Plugs will become differentiated
Valves are perhaps not in their infancy but at
least their adolescence
Guidance systems will become more
sophisticated
13. Copyright 息2009 American College of Cardiology Foundation. Restrictions may apply.
Patel, M. R. et al. J Am Coll Cardiol 2009;53:530-553
Method of Revascularization of Advanced
Coronary Artery Disease
14. Useful but evolving tools
Main Benefit: Expanding quality
improvements efforts
Main Risk: Used to deny reimbursement (This
will happen)
Look for a paper by Marso and an editorial by
Blankenship in JACC:Interventions February
issue.
19. Certification is the job of ABMS
Credentialing is local and will need to address
local circumstances
General Principles
Experience and current activity count
vs
Coverage for STEMI call requires bodies
Competition forces reduced requirements
Consolidation enables more restrictive requirements
20. The future of interventional cardiology is
bright.
Deregulation and a leveling off of coronary
interventions bring into question how many
interventionalists are needed and what skills
are needed.
Consolidation produces the opportunity to
improve quality and reduce costs