Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Practice Guideline
. 2022 Jan 18;79(2):e21-e129.
doi: 10.1016/j.jacc.2021.09.006. Epub 2021 Dec 9.

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

Writing Committee Members; Jennifer S Lawton, Jacqueline E Tamis-Holland, Sripal Bangalore, Eric R Bates, Theresa M Beckie, James M Bischoff, John A Bittl, Mauricio G Cohen, J Michael DiMaio, Creighton W Don, Stephen E Fremes, Mario F Gaudino, Zachary D Goldberger, Michael C Grant, Jang B Jaswal, Paul A Kurlansky, Roxana Mehran, Thomas S Metkus Jr, Lorraine C Nnacheta, Sunil V Rao, Frank W Sellke, Garima Sharma, Celina M Yong, Brittany A Zwischenberger
Free article
Practice Guideline

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

Writing Committee Members et al. J Am Coll Cardiol. .
Free article

Erratum in

  • Correction.
    [No authors listed] [No authors listed] J Am Coll Cardiol. 2022 Apr 19;79(15):1547. doi: 10.1016/j.jacc.2022.03.330. J Am Coll Cardiol. 2022. PMID: 35422252 No abstract available.
  • Correction.
    [No authors listed] [No authors listed] J Am Coll Cardiol. 2024 Aug 20;84(8):771. doi: 10.1016/j.jacc.2024.07.010. J Am Coll Cardiol. 2024. PMID: 39142733 No abstract available.

Abstract

Aim: 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.

Methods: 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.

Structure: 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.

Keywords: ACC/AHA Clinical Practice Guidelines; angiogram; angiography; angioplasty; arterial graft; cardiac surgery; coronary artery bypass graft surgery; coronary atherosclerosis; internal mammary artery graft; internal thoracic artery graft; left ventricular dysfunction; multivessel PCI; myocardial infarction; myocardial revascularization; non–ST-segment–elevated myocardial infarction; percutaneous coronary intervention; percutaneous transluminal coronary angioplasty; post-bypass; saphenous vein graft; stent(s); vein graft lesions.

PubMed Disclaimer

Comment in

Publication types

MeSH terms