Top Things to Know: 2011 Guidelines for Percutaneous Coronary Intervention
- In an unprecedented effort, the PCI and CABG writing committees authored joint revascularization recommendations, which appear in both guidelines
- Three definitions for PCI success (i.e., angiographic, procedural, and clinical) are provided
- Includes recommendations for when, and which, patients should undergo revascularization (PCI or CABG) for coronary artery disease, including left main CAD
- Clinical guidance on anticoagulant and antiplatelet therapy during and after PCI is provided
- Pre-procedural considerations are covered, including catheterization laboratory requirements, ethical aspects, radiation safety, bleeding risk and revised recommendations on PCI without surgical back up on-site
- Procedural considerations included are specific clinical situations (e.g., UA/NSTEMI and STEMI), stent types (bare metal vs. drug-eluting), adjunctive devices (i.e., diagnostic and therapeutic), interventional pharmacotherapy, and specific anatomic situations
- Recommendation on management of patients after PCI include these major post-procedural areas of how and when to use newer antiplatelet agents in patients undergoing PCI, restenosis post-BMS and DES and clinical follow-up.
- Actions to decrease the risk of complications in patients undergoing PCI
- Recommendations to decrease the risk of contrast nephropathy
- New recommendation for cardiac rehabilitation for patients after PCI
Citation
Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG, Cigarroa JE, DiSesa VJ, Hiratzka LF, Hutter AM Jr, Jessen ME, Keeley EC, Lahey SJ, Lange RA, London MJ, Mack MJ, Patel MR, Puskas JD, Sabik JF, Selnes O, Shahian DM, Trost JC, Winniford MD. 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. Circulation. 2011: published online before print November 7, 2011, 10.1161/CIR.0b013e31823c074e.
Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH. 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2011: published online before print November 7, 2011, 10.1161/CIR.0b013e31823ba622.