Evidence map›Paper›PMID 42403195›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2026

Intracoronary Imaging to Guide PCI in Acute Coronary Syndromes: A Report From the BMC2 Registry.

Ryan Madder, Milan Seth, Devraj Sukul, Sid Gandhi, Abiy Nigatu, Kelley Chen, Khaldoon Alaswad, Joseph Gibbs, Eric Cantey, Hitinder Gurm

Abstract readMulticenter Study
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ryan MadderDepartment of Cardiovascular Medicine, William Beaumont University Hospital, Corewell Health East, Royal Oak, Michigan, USA.ORCID https://orcid.org/0000-0002-3751-2910
Milan SethDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Devraj SukulFrederik Meijer Heart & Vascular Institute, Corewell Health West, Grand Rapids, Michigan, USA.
Sid GandhiMclaren Northern, Petosky, Michigan, USA.
Abiy NigatuTrinity Health, Grand Rapids, Michigan, USA.
Kelley ChenHenry Ford Genesys, Grand Blanc, Michigan, USA.
Khaldoon AlaswadHenry Ford Hospital, Detroit, Michigan, USA.
Joseph GibbsMunson Medical Center, Traverse City, Michigan, USA.
Eric CanteyDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Hitinder GurmDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Funding

Blue Cross Blue Shield of Michigan
6 · The paper itself

Abstract

backgroundIntracoronary imaging (ICI) to guide percutaneous coronary intervention (PCI) in acute coronary syndromes (ACS) carries a Class I recommendation in US guidelines.

aimsThis analysis evaluated the frequency of ICI use among patients with ACS.

methodsUsing data from a large statewide registry, all patients undergoing PCI between January 1, 2019, and December 31, 2024, were studied. The primary measure of interest for this analysis was the use of ICI to guide PCI, defined as the use of ICI after the decision was made to proceed with PCI. The frequency of ICI use among patients with and without ACS was compared, and the trend in ICI use in ACS patients over the study period was examined.

resultsDuring the 6-year study period, 166,238 PCIs were performed at 51 non-federal hospitals in Michigan, of which 90,441 (54.4%) were performed for ACS. ICI was used to guide PCI in 25,234 (27.9%) ACS cases, which was significantly lower than ICI use in 23,999 (31.7%) non-ACS cases (p < 0.001). Over the 6-year study, a progressive and significant increase in ICI use in ACS was observed from 6.5% in the first year to 54.4% in the sixth year of the study (p < 0.001 for trend).

conclusionsDespite its proven benefits in ACS, ICI was used to guide PCI significantly less often among patients presenting with ACS compared with those without ACS. However, the ICI to guide PCI in ACS has increased significantly over time and at a similar pace compared to those without ACS.

Indexed as

Acute Coronary SyndromeCoronary AngiographyPercutaneous Coronary InterventionRadiography, InterventionalUltrasonography, InterventionalAgedFemaleHumansMaleMichiganMiddle AgedPredictive Value of TestsRegistriesRetrospective StudiesTime FactorsTreatment Outcomeintravascular ultrasoundnon‐STEMIoptical coherence tomographySTEMIunstable angina

Identifiers

PMID42403195
PMCPMC13532417

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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.