Evidence map›Paper›PMID 40230664›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions2025

Effects of Artificial Intelligence Clinical Decision Support Tools on Complications Following Percutaneous Coronary Intervention.

Karley B Fischer, Damian N Valencia, Ananya Reddy, John Paul Khouzam, Ziwar F Karabatak, Ajay Reddivari, Ammar Safar, M Niranjan Reddy, Raja A Nazir, Brian P Schwartz

Abstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Karley B FischerDepartment of Internal Medicine, Kettering Health Main Campus, Kettering, Ohio.
Damian N ValenciaDepartment of Interventional Cardiology, Kettering Health Main Campus, Kettering, Ohio.
Ananya ReddyBoonshoft School of Medicine, Wright State University, Dayton, Ohio.
John Paul KhouzamBoonshoft School of Medicine, Wright State University, Dayton, Ohio.
Ziwar F KarabatakDepartment of Interventional Cardiology, Kettering Health Main Campus, Kettering, Ohio.
Ajay ReddivariDepartment of Interventional Cardiology, Kettering Health Main Campus, Kettering, Ohio.
Ammar SafarDepartment of Interventional Cardiology, Kettering Health Main Campus, Kettering, Ohio.
M Niranjan ReddyDepartment of Interventional Cardiology, Kettering Health Main Campus, Kettering, Ohio.
Raja A NazirDepartment of Interventional Cardiology, Kettering Health Main Campus, Kettering, Ohio.
Brian P SchwartzDepartment of Interventional Cardiology, Kettering Health Main Campus, Kettering, Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Artificial intelligence (AI) models have been created that incorporate unique patient characteristics to risk stratify patients undergoing cardiac catheterization with percutaneous coronary intervention (PCI). The most frequent complications following PCI are contrast-induced acute kidney injury (CI-AKI) and postprocedural bleeding, resulting in increased adverse outcomes, length of stay (LOS), and health care costs. Our study investigates the impact of AI clinical decision support tools on these events. Methods: A retrospective review of patients undergoing PCI at our institution from April 2023 to March 2024 was performed. All patients had an ePRISM (Terumo Health Outcomes AI clinical decision support tool) generated risk assessment and maximum contrast volume recommendation reported during procedure time-out. Statistical analysis was performed to determine the incidence of post-PCI CI-AKI, bleeding events, and LOS. Results: A total of 642 patients were analyzed. The incidence of CI-AKI significantly declined from a baseline of 10% to an average of 2.18% ( Conclusions: AI clinical decision support tools can be effectively incorporated into clinical practice. ePRISM successfully risk-stratified patients undergoing PCI for CI-AKI and bleeding events and gave meaningful recommendations which resulted in a significant reduction in adverse events and LOS.

Indexed as

acute kidney injuryartificial intelligencecontrast nephropathypercutaneous coronary intervention

Identifiers

PMID40230664
PMCPMC11993894

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.