2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

• Published in: Journal of the American College of Cardiology Vol. 79; no. 2; p. e21
• Main Authors: Lawton, Jennifer S, Tamis-Holland, Jacqueline E, Bangalore, Sripal, Bates, Eric R, Beckie, Theresa M, Bischoff, James M, Bittl, John A, Cohen, Mauricio G, DiMaio, J Michael, Don, Creighton W, Fremes, Stephen E, Gaudino, Mario F, Goldberger, Zachary D, Grant, Michael C, Jaswal, Jang B, Kurlansky, Paul A, Mehran, Roxana, Metkus, Jr, Thomas S, Nnacheta, Lorraine C, Rao, Sunil V, Sellke, Frank W, Sharma, Garima, Yong, Celina M, Zwischenberger, Brittany A
• Format: Journal Article
• Language: English
• Published: United States 18.01.2022
• Subjects: American Heart Association; Cardiology - standards; Coronary Artery Disease - therapy; Humans; Myocardial Revascularization - methods; Myocardial Revascularization - standards; United States; United States; ACC/AHA Clinical Practice Guidelines; multivessel PCI; saphenous vein graft; non–ST-segment–elevated myocardial infarction; stent(s); vein graft lesions; myocardial infarction; post-bypass; left ventricular dysfunction; angiography; coronary artery bypass graft surgery; myocardial revascularization; percutaneous coronary intervention; percutaneous transluminal coronary angioplasty; coronary atherosclerosis; internal mammary artery graft; arterial graft; cardiac surgery; internal thoracic artery graft; angiogram; angioplasty
• DOI: 10.1016/j.jacc.2021.09.006
• ISSN: 1558-3597

The guideline for coronary artery revascularization replaces the 2011 coronary artery bypass graft surgery and the 2011 and 2015 percutaneous coronary intervention guidelines, providing a patient-centric approach to guide clinicians in the treatment of patients with significant coronary artery disease undergoing coronary revascularization as well as the supporting documentation to encourage their use. A comprehensive literature search was conducted from May 2019 to September 2019, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Collaboration, CINHL Complete, and other relevant databases. Additional relevant studies, published through May 2021, were also considered. Coronary artery disease remains a leading cause of morbidity and mortality globally. Coronary revascularization is an important therapeutic option when managing patients with coronary artery disease. The 2021 coronary artery revascularization guideline provides recommendations based on contemporary evidence for the treatment of these patients. The recommendations present an evidence-based approach to managing patients with coronary artery disease who are being considered for coronary revascularization, with the intent to improve quality of care and align with patients' interests.