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Regulators are on board and the reimbursement is there, but should more complex percutaneous coronary intervention (PCI) procedures be shifted from a traditional hospital setting to an ambulatory surgical center (ASC)? Obviously we re not advocating that [PCI in a] high-risk patient with high-risk anatomy should be performed in an ASC setting at this point. Probably, those patients should stay in the hospital, said Georges Nseir, MD, of Premier Cardiovascular Center in Chandler, Arizona, at a panel discussion during the virtual meeting of the Society for Cardiovascular Angiography and Interventions (SCAI). Just because you can do it in the hospital doesn t automatically mean it will translate to the ASC or OBL [office-based lab] setting, cautioned Jeffrey Carr, MD, of Tyler Cardiac and Endovascular Center and CardiaStream in Tyler, Texas.