Manesh R. Patel, MD, FACC, Gregory J

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Date of download: 7/8/2016 Copyright © The American College of Cardiology. All rights reserved. From: Procedural Outcomes of Chronic Total Occlusion Percutaneous.

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Endorsed by the American Society of Echocardiography and the Heart Rhythm Society Manesh R. Patel, MD, FACC, Gregory J. Dehmer, MD, FACC, FACP, FSCAI, FAHA, John W. Hirshfeld, MD, Peter K. Smith, MD, FACC, John A. Spertus, MD, MPH, FACC, Frederick A. Masoudi, MD, MSPH, FACC, FAHA, Gregory J. Dehmer, MD, FACC, FACP, FSCAI, FAHA, Manesh R. Patel, MD, FACC, Peter K. Smith, MD, FACC, Charles E. Chambers, MD, FACC, FSCAI, T. Bruce Ferguson, MD, FACC, FAHA, Mario J. Garcia, MD, FACC, Frederick L. Grover, MD, FACC, David R. Holmes, MD, FACC, FSCAI, Lloyd W. Klein, MD, FACC, FSCAI, FAHA, Marian C. Limacher, MD, FACC, FACP, FAHA, Michael J. Mack, MD, FACC, David J. Malenka, MD, FACC, FAHA, Myung H. Park, MD, FACC, Michael Ragosta, MD, FACC, FSCAI, James L. Ritchie, MD, FACC, FAHA, Geoffrey A. Rose, MD, FACC, FASE, Alan B. Rosenberg, MD, Andrea M. Russo, MD, FACC, FHRS, Richard J. Shemin, MD, FACC, FAHA, William S. Weintraub, MD, FACC, FAHA The Journal of Thoracic and Cardiovascular Surgery Volume 143, Issue 4, Pages 780-803 (April 2012) DOI: 10.1016/j.jtcvs.2012.01.061 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Appropriate use ratings for revascularization in acute coronary syndromes.∗ The fact that the use of coronary revascularization for a particular condition is listed in this figure (appropriate, uncertain, inappropriate) does not preclude the use of other therapeutic modalities that may be equally effective. See the most current ACCF/AHA UA/NSTEMI and STEMI guidelines.16,23 A, Appropriate; CAD, coronary artery disease; HF, heart failure; I, inappropriate; LVEF, left ventricular ejection fraction; PCI, percutaneous coronary intervention; STEMI, ST-elevation myocardial infarction; U, uncertain; UA/NSTEMI, unstable angina/non–ST-elevation myocardial infarction. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Appropriate use ratings by low-risk findings on noninvasive imaging study and asymptomatic (patients without prior bypass surgery). A, Appropriate; CTO, chronic total occlusion; I, inappropriate; Int., intermediate; Max, maximum; min, minimal; Med., medical; prox. LAD, proximal left anterior descending artery; Rx, treatment; U, uncertain; vz., vessel. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Appropriate use ratings by intermediate-risk findings on noninvasive imaging study and CCS class I or II angina (patients without prior bypass surgery). A, Appropriate; CCS, Canadian Cardiovascular Society; CTO, chronic total occlusion; I, inappropriate; Int., intermediate; Max, maximum; min, minimal; Med., medical; prox. LAD, proximal left anterior descending artery; Rx, treatment; U, uncertain; vz., vessel. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Appropriate use ratings by high-risk findings on noninvasive imaging study and CCS class III or IV angina (patients without prior bypass surgery). A, Appropriate; CCS, Canadian Cardiovascular Society; CTO, chronic total occlusion; I, inappropriate; Int., intermediate; Max, maximum; min, minimal; Med., medical; prox. LAD, proximal left anterior descending artery; Rx, treatment; U, uncertain; vz., vessel. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Method of revascularization of multivessel coronary artery disease. A, Appropriate; CABG, coronary artery bypass grafting; CAD, coronary artery disease; CTO, chronic total occlusion; I, inappropriate; LAD, left anterior descending artery; PCI, percutaneous coronary intervention; SYNTAX, Synergy Between PCI With TAXUS and Cardiac Surgery; U, uncertain. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2012 143, 780-803DOI: (10.1016/j.jtcvs.2012.01.061) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions