Version June 2024
| Source | |
| Personnel recommendations | |
| Experienced nursing and technical laboratory staff with training in interventional laboratories. Personnel must be comfortable treating acutely ill patients with hemodynamic and electrical instability. | PCI-GL PCI-CS |
| Coronary care unit nursing staff must be experienced and comfortable with invasive hemodynamic monitoring, operation of temporary pacemaker, management of IABP, management of in-dwelling arterial/venous sheaths and identifying potential complications such as abrupt closure, recurrent ischemia, and access site complications. | PCI-GL PCI-CS New |
| Personnel should be capable of endotracheal intubation and ventilator management both on-site and during transfer if necessary. | PCI-GL |
| Operators should have ABIM board certification in interventional cardiology and maintain certification, with the exception of operators who have gone through equivalent training outside the United States and are ineligible for ABIM certification and recertification exams. | PCI-CS |
| Interventional cardiologists should perform a minimum of 50 coronary interventional procedures per year [averaged over a two-year period] to maintain competency. | PCI-CS |
| Primary PCI should be performed by experienced operators who perform a minimum of 50 elective PCI procedures per year and, ideally, at least 11 primary PCI procedures per year. Ideally, these procedures should be performed in institutions that perform more than 200 elective PCIs per year and more than 36 primary PCI procedures for STEMI per year. | PCI-CS ML |
| Facilities should develop internal review processes to assess operators performing <50 PCIs annually. Individual operator level volume is one of several factors that should be considered in assessing operator competence, which include lifetime experience, institutional volume, individual operator's other cardiovascular interventions, and quality assessment of the operator's ongoing performance. | PCI-CS |
| It is unwise for a newly trained interventional cardiologist to start a new PCI program. Newly trained interventional cardiologists joining an established PCI program should be mentored by existing physicians until it is determined their skills, judgment, and outcomes are acceptable. | New |
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