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Treatment
Revascularization in Patients With SCAD
COR LOE
Recommendations
2b C-LD 1. In patients with SCAD who have hemodynamic instability
or ongoing ischemia despite conservative therapy,
revascularization may be considered if feasible.
3: Harm C-LD 2. Routine revascularization for SCAD should NOT be
performed.
Revascularization in Patients With Cardiac Allografts
COR LOE
Recommendation
2a C-LD 1. In patients with cardiac allograft vasculopathy and severe,
proximal, discrete coronary lesions, revascularization with
PCI is reasonable.
Choice of Stent Type
COR LOE
Recommendation
1 A 1. In patients undergoing PCI, DES should be used in preference
to BMS to prevent restenosis, MI, or acute stent thrombosis.
Radial and Femoral Approaches for PCI
COR LOE
Recommendations
1 A 1. In patients with ACS undergoing PCI, a radial approach is
indicated in preference to a femoral approach to reduce the
risk of death, vascular complications, or bleeding.
1 A 2. In patients with SIHD undergoing PCI, the radial approach
is recommended to reduce access site bleeding and vascular
complications.
General Procedural Issues for PCI
