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SMITH ET AL., ACC/AHA GUIDELINES FOR PERCUTANEOUS CORONARY INTERVENTION
(REVISION OF THE 1993 PTCA GUIDELINES)
JACC VOL. 37, NO. 8, JUNE 2001:2239i-lxvi

ACC/AHA Guidelines for Percutaneous Coronary Intervention (Revision of the 1993 PTCA Guidelines)

A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1993 Guidelines for Percutaneous Transluminal Coronary Angioplasty)

Endorsed by the Society for Cardiac Angiography and Interventions

Figures and Tables

Figure 1. Frequency of Device Use in the SCA&I Registry

Figure 2. Balloon Stent vs. Balloon Angioplasty in Coronary Artery Disease

Figure 3. Mortality at the end of study in all the trials comparing primary PTCA with thombolytic drug treatment.

Figure 4. Death or nonfatal myocardial infarction outcomes at 30 days in 10 ramdomized, placebo-controlled trials of GP IIb/IIIa blockers

Figure 5. AHA Guide to Comprehensive Risk Reduction for Patients with Coronary and Other Vascular Disease

Table 1. Definitions of Procedural Complications

Table 2. Unadjusted In-Hospital Outcome Trends Following Percutaneous Intervensions

Table 3. Selected Trials of Pharmocologic and Mechanical Approaches to Limit Restenosis

Table 4. Studies Comparing Balloon Angioplasty with Stents for Native Coronary Artery Lesions

Table 5. Lesion Classification System

Table 6. Clinical Risk Factors Associated with In-Hospital Adverse Events

Table 7. Gender-Specific Late Mortality Risk

Table 8. Probability of Success, Complications, and Restenosis After Balloon Angioplasty or Stenting Patients Following Coronary Bypass Surgery

Table 9. Procedural Outcomes Associated with Specific Technologies

Table 10. Summary of Randomized Trials of PTCA and CBGA for Multivessel Disease

Table 11. PCI Comparison with Medical Therapy

Table 12. Key Components of a Quality Assurance Program

Table 13. Considerations for the Assessment and Maintenance of Proficiency in Coronary Interventional Procedures

Table 14. Recommendations for PCI Institutional and Operator Volumes at Centers with Onsite Cardiac Surgery

Table 15. Criteria for the Performance of Primary Angioplasty at Hospitals without Onsite Cardiac Surgery

Table 16. Patients Selection for Angioplasty and Emergency Aortocoronary Bypass at Hospitals without Onsite Cardiac Surgery

Table 17. Recommendations for PCI with and without Onsite Cardiac Surgery

Table 18. Provider Checklist: Key Areas for Consideration

Table 19. Recommendations for PCI in Asymptomatic or Class I Angina Patients

Table 20. Noninvasive Risk Stratification: High Risk (>3% annual mortality rate)

Table 21. Recommendations for PCI in Moderate or Severe Symptomatic, Class II-IV Angina, Unstable Angina, or Non-ST-Elevations MI Patients

Table 22. Invasive vs. Conservative Strategies in Unstable Angina Patients

Table 23. Studies Comparing PTCA with Stents in Acute Myocardial Infarction

Table 24. Contraindications and Cautions for Thrombolytic Use in Myocardial Infarction

Table 25. Recommendations for Primary PCA in Acute Transmural MRI Patients as an Alternative to Thrombolysis

Table 26. Recommendations for PCI After Thrombolysis

Table 27. Recommendations for PCI During Subsequent Hospital Management After Acute Therapy for AMI Including Primary PCI

Table 28. Recommendations for PCI with Prior CABG

Table 29. Recommendations for Coronary Intravascular Ultrasound (IVUS)

Table 30. Recommendations for Intracoronary Physiologic Measurements (Doppler Ultrasound, Fractional Flow Reserve

Table 31. Recommendations for Pharmocologic Management of Patients Undergoing PCI

Table 32. Predictive Value of Exercise Electrocardiographic Testing for Identification of Restenosis After PTCA

Table 33. Exclusion Criteria for Invasive Cardiac Procedures in Settings without Full Support Services

Table 34. Summarizes Coronary Angioplasty Studies in Heart Transplant Patients

© 2001 by the American College of Cardiology
and American Heart Association


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