Percutaneous coronary intervention prior coronary bypass surgery
|
Percutaneous Coronary Intervention Guidelines Microchapters |
|
PCI Approaches: |
|---|
|
CAD Revascularization: |
|
Pre-procedural Considerations: |
|
Procedural Considerations: |
|
|
|
|
|
|
|
|
|
|
Post-Procedural Considerations: |
|
Quality and Performance Considerations: |
|
Percutaneous coronary intervention prior coronary bypass surgery On the Web |
|
American Roentgen Ray Society Images of Percutaneous coronary intervention prior coronary bypass surgery |
|
FDA on Percutaneous coronary intervention prior coronary bypass surgery |
|
CDC on Percutaneous coronary intervention prior coronary bypass surgery |
|
Percutaneous coronary intervention prior coronary bypass surgery in the news |
|
Blogs on Percutaneous coronary intervention prior coronary bypass surgery |
|
Directions to Hospitals Treating Percutaneous Coronary Intervention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
2005 ACC/AHA/SCAI Guidelines for Percutaneous Coronary Intervention (DO NOT EDIT)[1]
PCI in patients with Prior Coronary Bypass Surgery (DO NOT EDIT)[1]
| Class I |
| "1. When technically feasible, PCI should be performed in patients with early ischemia (usually within 30 days) after CABG. (Level of Evidence: B)" |
| "2. It is recommended that distal embolic protection devices be used when technically feasible in patients undergoing PCI to saphenous vein grafts. (Level of Evidence: B)" |
| Class III |
| "1. PCI is not recommended in patients with prior CABG for chronic total vein graft occlusions.(Level of Evidence: B)" |
| "2. PCI is not recommended in patients who have multiple target lesions with prior CABG and who have multi-vessel disease failure of multiple SVGs, and impaired LV function unless repeat CABG poses excessive risk due to severe comorbid conditions. (Level of Evidence: B)" |
| Class IIa |
| "1. PCI is reasonable in patients with ischemia that occurs 1 to 3 years after CABG and who have preserved LV function with discrete lesions in graft conduits. (Level of Evidence: B)" |
| "2. PCI is reasonable in patients with disabling angina secondary to new disease in a native coronary circulation after CABG. (If angina is not typical, objective evidence of ischemia should be obtained.) (Level of Evidence: B)" |
| "3. PCI is reasonable in patients with diseased vein grafts more than 3 years after CABG. (Level of Evidence: B)" |
| "4. PCI is reasonable when technically feasible in patients with a patent left internal mammary artery graft who have clinically significant obstructions in other vessels. (Level of Evidence: C)" |
References
- ↑ 1.0 1.1 Smith SC, Feldman TE, Hirshfeld JW, Jacobs AK, Kern MJ, King SB; et al. (2006). "ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update 2001 Guidelines for Percutaneous Coronary Intervention)". Circulation. 113 (7): e166–286. doi:10.1161/CIRCULATIONAHA.106.173220. PMID 16490830.