© 2002 by Heart
EDITORIAL
Death following coronary angioplasty
1 NCEPOD Specialty Adviser, Wessex Regional Cardiac Unit, Southampton General Hospital, Southampton, SO166YD, UK
2 NCEPOP Clinical Coordinator, NCEPOD, 35-43 Lincoln's Inn Fields, London WC2A 3PN, UK
Correspondence to:
Correspondence to:
Dr Huon Gray, Wessex Regional Cardiac Unit, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK
The National Confidential Enquiry into Peri-Operative Deaths (NCEPOD) recently published a study attempting to review all deaths within 30 days of a coronary angioplasty procedure in the UK between September 1998 and August 1999. What observations were made?
Keywords: National Confidential Enquiry into Peri-Operative Deaths; coronary angioplasty
Abbreviations: CABG, coronary artery bypass graft; NCEPOD, National Confidential Enquiry into Peri-Operative Deaths; NHS, National Health Service; PTCA, percutaneous transluminal coronary angioplasty
Since 1987 the National Confidential Enquiry into Peri-Operative Deaths (NCEPOD) has undertaken detailed peer review of the clinical details of patients who died following anaesthesia and various surgical procedures. Their annual reports have reviewed the quality of care delivered, not specifically the causes of death, and attempted to identify potentially remediable factors in clinical practice. Last year NCEPOD published a study of a percutaneous "minimally invasive" procedure attempting to review all deaths within 30 days of a coronary angioplasty (PTCA) procedure in the UK between September 1998 and August 1999.1 What observations were made?
All UK intervention centres were invited to participate, and 84% (n = 36) of National Health Service (NHS)but only 38% (n = 5)of private, intervention centres returned data. A total number of 21 222 PTCA procedures were performed with an overall mortality calculated to be 0.87%, validating the figure of 0.91% independently reported by the British
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