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September 2008 Br J Cardiol 2008;15:244–47

Percutaneous coronary angioplasty in a district general hospital: safe and effective – the Bournemouth model

Dominic Kelly, Manas Sinha, Rosie Swallow, Terry Levy, Johannes Radvan, Adrian Rozkovec, Suneel Talwar

Abstract

Introduction Over the last 15 years there has been an almost exponential growth in the percutaneous coronary intervention (PCI) rate in the UK from less than 10,000 procedures in 1991 to over 70,000 in 2005 (British Cardiovascular Intervention Society [BCIS] audit data 2005). The National Service Framework (NSF) for Cardiology (http://www.csp.org.uk/uploads/documents/ebb_cr.pdf) has recommended revascularisation rates of 1,500 per million of population with either cardiac surgery or PCI as the mode of revascularisation. During the same time period the rate of coronary artery bypass graft (CABG) has remained relatively static with the ratio of

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