View source for Coronary artery bypass surgery heart team approach to revascularization decisions

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{{Coronary artery bypass surgery}}
{{CMG}}; {{AOEIC}} {{VK}}

==Overview==
In patients with unprotected left main disease or complex CAD, a Heart Team approach is recommended.Calculation of the STS and [[SYNTAX]] score is also reasonable in these patients.

==2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.|title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume=  | issue=  | pages=  | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599  }} </ref>==
===Heart Team Approach to Revascularization Decisions (DO NOT EDIT)<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.|title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume=  | issue=  | pages=  | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599  }} </ref>===
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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' A Heart Team approach to [[revascularization]] is recommended in patients with unprotected left main or complex [[CAD]].<ref name="pmid19228612">{{cite journal |author=Serruys PW, Morice MC, Kappetein AP, Colombo A, Holmes DR, Mack MJ, Ståhle E, Feldman TE, van den Brand M, Bass EJ, Van Dyck N, Leadley K, Dawkins KD, Mohr FW |title=Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease |journal=[[The New England Journal of Medicine]] |volume=360 |issue=10 |pages=961–72 |year=2009 |month=March |pmid=19228612 |doi=10.1056/NEJMoa0804626 |url=http://dx.doi.org/10.1056/NEJMoa0804626 |accessdate=2011-12-13}}</ref><ref name="pmid10859284">{{cite journal |author=Feit F, Brooks MM, Sopko G, Keller NM, Rosen A, Krone R, Berger PB, Shemin R, Attubato MJ, Williams DO, Frye R, Detre KM |title=Long-term clinical outcome in the Bypass Angioplasty Revascularization Investigation Registry: comparison with the randomized trial. BARI Investigators |journal=[[Circulation]] |volume=101 |issue=24 |pages=2795–802 |year=2000 |month=June |pmid=10859284 |doi= |url=http://circ.ahajournals.org/cgi/pmidlookup?view=long&pmid=10859284 |accessdate=2011-12-13}}</ref><ref name="pmid9185632">{{cite journal |author=King SB, Barnhart HX, Kosinski AS, Weintraub WS, Lembo NJ, Petersen JY, Douglas JS, Jones EL, Craver JM, Guyton RA, Morris DC, Liberman HA |title=Angioplasty or surgery for multivessel coronary artery disease: comparison of eligible registry and randomized patients in the EAST trial and influence of treatment selection on outcomes. Emory Angioplasty versus Surgery Trial Investigators |journal=[[The American Journal of Cardiology]] |volume=79 |issue=11 |pages=1453–9 |year=1997 |month=June |pmid=9185632 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0002914997001707 |accessdate=2011-12-13}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
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|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' Calculation of the STS and [[SYNTAX score]]s (Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery) is reasonable in patients with unprotected left main and complex CAD.<ref name="pmid20530001">{{cite journal |author=Morice MC, Serruys PW, Kappetein AP, Feldman TE, Ståhle E, Colombo A, Mack MJ, Holmes DR, Torracca L, van Es GA, Leadley K, Dawkins KD, Mohr F |title=Outcomes in patients with de novo left main disease treated with either percutaneous coronary intervention using paclitaxel-eluting stents or coronary artery bypass graft treatment in the Synergy Between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery (SYNTAX) trial |journal=[[Circulation]] |volume=121 |issue=24 |pages=2645–53 |year=2010 |month=June |pmid=20530001 |doi=10.1161/CIRCULATIONAHA.109.899211 |url=http://circ.ahajournals.org/cgi/pmidlookup?view=long&pmid=20530001 |accessdate=2011-12-13}}</ref><ref name="pmid19228612">{{cite journal |author=Serruys PW, Morice MC, Kappetein AP, Colombo A, Holmes DR, Mack MJ, Ståhle E, Feldman TE, van den Brand M, Bass EJ, Van Dyck N, Leadley K, Dawkins KD, Mohr FW |title=Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease |journal=[[The New England Journal of Medicine]] |volume=360 |issue=10 |pages=961–72 |year=2009 |month=March |pmid=19228612 |doi=10.1056/NEJMoa0804626 |url=http://dx.doi.org/10.1056/NEJMoa0804626 |accessdate=2011-12-13}}</ref><ref name="pmid21256999">{{cite journal |author=Chakravarty T, Buch MH, Naik H, White AJ, Doctor N, Schapira J, Mirocha JM, Fontana G, Forrester JS, Makkar R |title=Predictive accuracy of SYNTAX score for predicting long-term outcomes of unprotected left main coronary artery revascularization |journal=[[The American Journal of Cardiology]] |volume=107 |issue=3 |pages=360–6 |year=2011 |month=February |pmid=21256999 |doi=10.1016/j.amjcard.2010.09.029 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9149(10)01976-4 |accessdate=2011-12-13}}</ref><ref name="pmid11573040">{{cite journal |author=Grover FL, Shroyer AL, Hammermeister K, Edwards FH, Ferguson TB, Dziuban SW, Cleveland JC, Clark RE, McDonald G |title=A decade's experience with quality improvement in cardiac surgery using the Veterans Affairs and Society of Thoracic Surgeons national databases |journal=[[Annals of Surgery]] |volume=234 |issue=4 |pages=464–72; discussion 472–4 |year=2001 |month=October |pmid=11573040 |pmc=1422070 |doi= |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0003-4932&volume=234&issue=4&spage=464 |accessdate=2011-12-13}}</ref><ref name="pmid20630454">{{cite journal |author=Kim YH, Park DW, Kim WJ, Lee JY, Yun SC, Kang SJ, Lee SW, Lee CW, Park SW, Park SJ |title=Validation of SYNTAX (Synergy between PCI with Taxus and Cardiac Surgery) score for prediction of outcomes after unprotected left main coronary revascularization |journal=[[JACC. Cardiovascular Interventions]] |volume=3 |issue=6 |pages=612–23 |year=2010 |month=June |pmid=20630454 |doi=10.1016/j.jcin.2010.04.004 |url=http://linkinghub.elsevier.com/retrieve/pii/S1936-8798(10)00271-2 |accessdate=2011-12-13}}</ref><ref name="pmid19559822">{{cite journal |author=Shahian DM, O'Brien SM, Filardo G, Ferraris VA, Haan CK, Rich JB, Normand SL, DeLong ER, Shewan CM, Dokholyan RS, Peterson ED, Edwards FH, Anderson RP |title=The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery |journal=[[The Annals of Thoracic Surgery]] |volume=88 |issue=1 Suppl |pages=S2–22 |year=2009 |month=July |pmid=19559822 |doi=10.1016/j.athoracsur.2009.05.053 |url=http://linkinghub.elsevier.com/retrieve/pii/S0003-4975(09)01056-X |accessdate=2011-12-13}}</ref><ref name="pmid20022608">{{cite journal |author=Shahian DM, O'Brien SM, Normand SL, Peterson ED, Edwards FH |title=Association of hospital coronary artery bypass volume with processes of care, mortality, morbidity, and the Society of Thoracic Surgeons composite quality score |journal=[[The Journal of Thoracic and Cardiovascular Surgery]] |volume=139 |issue=2 |pages=273–82 |year=2010 |month=February |pmid=20022608 |doi=10.1016/j.jtcvs.2009.09.007 |url=http://linkinghub.elsevier.com/retrieve/pii/S0022-5223(09)01163-5 |accessdate=2011-12-13}}</ref><ref name="pmid17954059">{{cite journal |author=Welke KF, Peterson ED, Vaughan-Sarrazin MS, O'Brien SM, Rosenthal GE, Shook GJ, Dokholyan RS, Haan CK, Ferguson TB |title=Comparison of cardiac surgery volumes and mortality rates between the Society of Thoracic Surgeons and Medicare databases from 1993 through 2001 |journal=[[The Annals of Thoracic Surgery]] |volume=84 |issue=5 |pages=1538–46 |year=2007 |month=November |pmid=17954059 |doi=10.1016/j.athoracsur.2007.06.022 |url=http://linkinghub.elsevier.com/retrieve/pii/S0003-4975(07)01328-8 |accessdate=2011-12-13}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
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==References==
{{reflist|2}}

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[[Category:Cardiac surgery]]
[[Category:Cardiology]]
[[Category:Surgery]]