A New Jersey symposium explored whether the state should begin allowing health centers without surgical backup capabilities to offer elective percutaneous coronary intervention. Care needs to be taken to ensure safety and appropriate use of procedures, said SCAI trustee Dr. Ralph Brindis. Panelist and former SCAI President Dr. Gregory Dehmer emphasized quality as well, along with the community profile. "The quality of a program is not determined solely by the presence or absence of a surgeon. The decision to operate an elective PCI program should be based on the needs of patients and the community," Dehmer said.