2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention

作者：Glenn N. Levine, Eric Bates, James C. Blankenship, Steven R. Bailey, John A. Bittl, Bojan Cercek, Charles E. Chambers, Stephen G. Ellis, Robert A. Guyton, Steven M. Hollenberg, Umesh N. Khot, Richard A. Lange, Laura Mauri, Roxana Mehran, Issam Moussa, Debabrata Mukherjee, Brahmajee K. Nallamothu, Henry H. Ting · 发表于：Circulation · 年份：2011 · DOI：10.1161/cir.0b013e31823ba622 · 被引用次数：3304 · 研究领域：Acute Myocardial Infarction Research、Coronary Interventions and Diagnostics、Antiplatelet Therapy and Cardiovascular Diseases

III: Harm-For SIHD in patients (versus performing CABG) with unfavorable anatomy for PCI and who are good candidates for CABG B 13,17,19,24-32 3-vessel disease with or without proximal LAD artery disease* CABG I B 26,30,53-56 IIa-It is reasonable to choose CABG over PCI in patients with complex 3-vessel CAD (eg, SYNTAX score Ͼ22) who are good candidates for CABG B 32,46,56,71,72 PCI IIb-Of uncertain benefit B 26,46,53,56,82 2-vessel disease with proximal LAD artery disease* CABG I B 26,30,53-56 PCI IIb-Of uncertain benefit B 26,53,56,82 2-vessel disease without proximal LAD artery disease* CABG IIa-With extensive ischemia B 60-63 IIb-Of uncertain benefit without extensive ischemia C 56 PCI IIb-Of uncertain benefit B 26,53,56,82 1-vessel proximal LAD artery disease CABG IIa-With LIMA for long-term benefit B 30,56,69,70 PCI IIb-Of uncertain benefit B 26,53,56,82 1-vessel disease without proximal LAD artery involvement CABG III: Harm B 30,53,60,61,94-98 PCI III: Harm B 30,53,60,61,94-98 LV dysfunction CABG IIa-EF 35% to 50% B 30,64-68 CABG IIb-EF Ͻ35% without significant left main CAD B 30,64-68,83,84 PCI Insufficient data N/A Survivors of sudden cardiac death with presumed ischemia-mediated VT CABG I B 57-59 PCI I C 5 7 No anatomic or physiologic criteria for revascularization CABG III: Harm B 30,53,60,61,94-98 PCI III: Harm B 30,53,60,61,94-98 *In patients with multivessel disease who also have diabetes, it is reasonable to choose CABG (with LIMA) over PCI 62,74 -81 (Class IIa...