Primary percutaneous coronary intervention at centers with and without on-site surgical support: Insights from the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2).
- Majed Afana,
- Hitinder S Gurm,
- Milan Seth,
- Kathleen M Frazier,
- Sheryl Fielding,
- Gerald C Koenig
Am Heart J 2018 Jan 14;195:99-107. Epub 2017 Oct 14.
Division of Cardiovascular Medicine, Henry Ford Health System, Detroit, MI; Wayne State University, School of Medicine, Detroit, MI. Electronic address:
Background: Primary percutaneous coronary intervention (PPCI) is being increasingly performed nationally at sites without on-site cardiac surgery; however, recent guidelines only provide a Class IIa recommendation for this practice. The state of Michigan has permitted PPCI without on-site surgery under a closely monitored system that mandates auditing of all procedures and quarterly feedback on quality and outcomes. This study sought to compare outcomes of patients undergoing PPCI at centers with and without on-site surgery in the state of Michigan. Read More