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Abstract #1992

Cost Analysis of Cardiac MRI for Cardiac Transplant Surveillance

Margaret M Samyn1, Ke Yan2, Justin Godown3, Steven J Kindel1, Bruce Damon4, Jonathan H Soslow5, and John Affleck-Graves6
1Pediatrics, Medical College of Wisconsin/ Herma Heart Institute at Children's Wisconsin, Milwaukee, WI, United States, 2Pediatrics, Medical College of Wisconsin, Milwaukee, WI, United States, 3Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States, 4Grainger College of Engineering, Carle Foundation Hospital/University of Illinois, Urbana, IL, United States, 5Pediatrics, Vanderbilt Univesity Medical Center, Nashville, TN, United States, 6University of Notre Dame Mendoza College of Business, Notre Dame, IN, United States

Synopsis

Keywords: Cardiovascular, Health Care Economics, Heart Transplantation; Acute RejectionCurrent transplant surveillance relies on frequent cardiac catheterization with endomyocardial biopsy (cath EMB) to detect life threatening acute rejection. Cardiac MRI has emerged as a diagnostic tool which can characterize the myocardium. The PEACE study (R01-HL164995-01) aims to evaluate the potential for using cardiac MRI parametric mapping as a pre-cath EMB screening tool to alleviate both patient and family burden and the financial burden of cath EMB. Consistent with the recent emphasis on "Value MRI," we therefore sought to understand the potential Medicare savings, if MRI is used for transplant surveillance for healthy heart transplant recipients rather than cath EMB.

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Keywords