Coronary revascularization
coronary-revascularization · society: ACC/AHA/SCAI
Summary
Consolidated update of prior PCI, CABG, STEMI, NSTE-ACS, and SIHD revascularization guidelines into a single patient-centric document. Emphasizes Heart Team decision-making, shared decision-making, equity of care, radial access, radial artery conduit over saphenous vein for second target, shorter DAPT durations with P2Y12 monotherapy transition, staged non-culprit PCI in STEMI, and CABG preference for diabetics with multivessel disease. Downgrades CABG from Class I to Class 2b for 3-vessel SIHD with preserved EF based on ISCHEMIA and contemporary trials.
Current guideline: 2021 ACC/AHA/SCAI Revascularization Guideline · 
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Versions
- 2021 · ACC/AHA/SCAI — 2021 ACC/AHA/SCAI Revascularization Guideline