Coronary Artery Revascularization
Publication Date: December 8, 2021
Last Updated: September 2, 2022
Overview
Improving Equity of Care in Revascularization
- In patients who require coronary revascularization, treatment decisions should be based on clinical indication, regardless of sex, or race or ethnicity, and efforts to reduce disparities of care are warranted.
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Shared Decision-Making and Informed Consent
- In patients undergoing revascularization, decisions should be patient-centered — that is, considerate of the patient’s preferences and goals, cultural beliefs, health literacy, and social determinants of health — and made in collaboration with the patient’s support system.
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- In patients undergoing coronary angiography or revascularization, adequate information about benefits, risks, therapeutic consequences, and potential alternatives in the performance of percutaneous and surgical myocardial revascularization should be given, when feasible, with sufficient time for informed decision-making to improve clinical outcomes.
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Preprocedural Assessment and the Heart Team
The Heart Team
- In patients for whom the optimal treatment strategy is unclear, a Heart Team approach that includes representatives from interventional cardiology, cardiac surgery, and clinical cardiology is recommended to improve patient outcomes.
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Overview
Title
Coronary Artery Revascularization
Authoring Organizations
American College of Cardiology
American Heart Association
Society for Cardiovascular Angiography and Interventions