BMC2 data were shared during 4 presentations at TCT 2024, October 27 - 30, 2024 in Washington, DC.
Thomas Basala, MS presented “Safety of Image-Guided Percutaneous Coronary Intervention in Contemporary Practice: Insights from BMC2.”
A BMC2 QI initiative led to a rapid increase in rates of imaging guided PCI throughout Michigan. Basala and co-authors reviewed BMC2 data to evaluate if this rapid increase is associated with complications such as dissections and perforations. No correlation was found.
Co-authors are Milan Seth, MS; Ryan Madder, MD; Brett Wanamaker, MD; Brittany Fuller, MD; Evan Shlofmitz, DO; Edouard Daher, MD; Michael Tucciarone, MD; Chadi Alraies, MD; Amir Kaki, MD; Sunil V. Rao, MD; Hitinder S Gurm, MD; and Devraj Sukul, MD, MSc, FACC, FSCAI.
Learn more by viewing a PDF of the presentation on the conference website.
Basala also presented “Effectiveness of Image-Guided Percutaneous Coronary Intervention in Contemporary Practice: Insights from BMC2.”
Basala and team reviewed BMC2 data to evaluate if the rapid increase in intracoronary imaging guided PCI in Michigan is associated with changes in practice patterns believed to optimize stent placement including:
1. Larger stent diameters
2. Larger maximum balloon diameters
3. Longer total stent lengths
Intracoronary imaging utilization increased from 11.2% to 32.1% during the data timeframe and was associated with the following:
Dr. Eric P. Cantey presented, “Prevalence of Mechanical Circulatory Support Usage for The Treatment of Acute Myocardial Infarction Cardiogenic Shock (AMI-CS): Insights from the BMC2 Registry.”
Recent evidence suggests a mortality benefit of microaxial flow pump (mAFP) in AMI-CS, despite the concomitant hazard of device-related complications. The success of a shock program is predicated on both care team and system-level factors. Dr. Cantey and his co-authors reviewed BMC2 data with the aim of defining the incidence of AMI-CS and utilization patterns of MCS in the State of Michigan and found that mAFP use was not correlated with AMI-CS volume.
Additional authors are Milan Seth, MS; Brett Wanamaker, MD, FACC, FSCAI; Edouard Daher, MD; Mir B. Basir, Amir Kaki, MD; Ryan Madder, MD, FSCAI; Devraj Sukul, MD, MSc, FACC, FSCAI; and Hitinder Gurm, MD.
Ryan D. Madder, MD, FACC, FSCAI presented “Initiative to Increase Intracoronary Imaging Optimization in PCI: A Report from the BMC2 Registry.”
The talk shared lessons learned through BMC2’s development and implementation of a formal initiative to increase use of intracoronary imaging for PCI optimization in the State of Michigan between 2020 and 2023.