The Epidemiology and Outcomes of Percutaneous Coronary Intervention Before High‐Risk Noncardiac Surgery in Contemporary Practice: Insights From the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) Registry

Background Percutaneous coronary intervention (PCI) is sometimes performed with the intent to lower cardiovascular risk before high‐risk noncardiac surgery (HRNCS). There are limited data on the frequency and outcome of PCIs performed in this setting. Methods and Results We assessed the frequency, c...

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Bibliographic Details
Published in:Journal of the American Heart Association 2014-05, Vol.3 (3), p.e000388-n/a
Main Authors: Muthappan, Palaniappan, Smith, Dean, Aronow, Herbert D., Eagle, Kim, Wohns, David, Fox, James, Share, David, Gurm, Hitinder S.
Format: Article
Language:English
Subjects:
Aged
angioplasty
Blue Cross Blue Shield Insurance Plans - statistics & numerical data
Cardiovascular Diseases - surgery
epidemiology
Female
Humans
Male
Michigan - epidemiology
Middle Aged
Original Research
Outcome and Process Assessment (Health Care)
Percutaneous Coronary Intervention - statistics & numerical data
Practice Patterns, Physicians' - statistics & numerical data
Preoperative Care - adverse effects
Preoperative Care - methods
preoperative revascularization
Registries
Risk Reduction Behavior
stents
Surgical Procedures, Operative - adverse effects
Surgical Procedures, Operative - methods
Treatment Outcome
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Summary:Background Percutaneous coronary intervention (PCI) is sometimes performed with the intent to lower cardiovascular risk before high‐risk noncardiac surgery (HRNCS). There are limited data on the frequency and outcome of PCIs performed in this setting. Methods and Results We assessed the frequency, characteristics, and in‐hospital outcomes of patients undergoing PCI as part of the preoperative workup for HRNCS among all 61 145 elective PCIs performed between 2002 and 2009 at 14 hospitals in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium. Propensity matching was performed to compare outcomes of patients undergoing PCI before HRNCS with all other elective PCI patients. The frequency of PCI before HRNCS was low (4.2%). Patients undergoing PCI before HRNCS were older (67.3 versus 64.9 years, P
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.113.000388