Percutaneous coronary intervention prior coronary bypass surgery: Difference between revisions
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==2005 ACC/AHA/SCAI Guidelines for Percutaneous Coronary Intervention (DO NOT EDIT)<ref name="pmid16490830">{{cite journal| author=Smith SC, Feldman TE, Hirshfeld JW, Jacobs AK, Kern MJ, King SB et al.| title=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). | journal=Circulation | year= 2006 | volume= 113 | issue= 7 | pages= e166-286 | pmid=16490830 | doi=10.1161/CIRCULATIONAHA.106.173220 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16490830 }} </ref>== | |||
===PCI in patients with Prior Coronary Bypass Surgery (DO NOT EDIT)<ref name="pmid16490830">{{cite journal| author=Smith SC, Feldman TE, Hirshfeld JW, Jacobs AK, Kern MJ, King SB et al.| title=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). |journal=Circulation | year= 2006 | volume= 113 | issue= 7 | pages= e166-286 | pmid=16490830 | doi=10.1161/CIRCULATIONAHA.106.173220 | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16490830 }}</ref>=== | |||
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|colspan="1" style="text-align:center; background:LightCoral"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] | |colspan="1" style="text-align:center; background:LightCoral"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] | ||
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|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''4.''' [[ST elevation myocardial infarction primary percutaneous coronary intervention|PCI]] is reasonable when technically feasible in patients with a patent [[LIMA|left internal mammary artery graft]] who have clinically significant obstructions in other vessels. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''4.''' [[ST elevation myocardial infarction primary percutaneous coronary intervention|PCI]] is reasonable when technically feasible in patients with a patent [[LIMA|left internal mammary artery graft]] who have clinically significant obstructions in other vessels. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Latest revision as of 18:40, 2 November 2012
Percutaneous Coronary Intervention Guidelines Microchapters |
PCI Approaches: |
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CAD Revascularization: |
Pre-procedural Considerations: |
Procedural Considerations: |
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Post-Procedural Considerations: |
Quality and Performance Considerations: |
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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.