Chapters Transcript Video Implementing the 2021 ACC/AHA/SCAI Guidelines for Coronary Artery Revascularization into Real World Practice Back to Symposium My name is Jennifer Lawton and I'm the chief of cardiac surgery at Johns Hopkins. I'm going to be talking at the 2022 American Heart Association scientific sessions about the 2021 coronary revascularization guidelines. I was lucky enough to be involved in this amazing project that took over two years to compose. Um, and it is all about coronary revascularization. My talk will be a brief one. It's entitled in a Nutshell summarizing 109 pages, 17 sections 136 recommendations in 10 minutes. Basically what I will try to do is to let everyone know what are the most important things that would be found in the 21 or excuse me, 2021 guidelines and those would probably be the top 10. If you read the article, you'll see at the very beginning are the top 10 things that are new or are interesting or change practice and those include several things that equity for one that treatment decisions should be based on clinical indications regardless of sex, race and ethnicity. That a hard team approach should be used in patients who need coronary revascularization. However, when, when the decision is somewhat unclear or complex heart team should be involved and that we should have shared decision making with patients at the time of discussion of options. Additional top 10 include surgical revascularization for left main disease. As there are a lot of new data out about left main disease stable ischemic heart disease. In normal left ventricular ejection fraction. There have been some changes in the guidelines and also the use of radial artery, not only as a conduit for PC. I. Or per cutaneous interventions, but also the radial artery as a conduit for coronary artery bypass grafting. Great data suggesting that the radial artery prolonged survival and has better patent see than safina's vein grafts. Additional top 10 include the duration of dual anti platelet therapy and some patients after per catania's intervention can be stopped at an earlier time that and that was previously thought and that is very safe. In addition, additional top 10 include revascularization of the non culprit artery when patients have a S. T. Elevation, myocardial infarction, additional new guidelines about multi vessel disease in patients with diabetes and the cabbage is the preferred coronary revascularization modality and also that we we should be calculating the society of thoracic surgery, predicted risk of mortality for patients prior to surgery. And we should also calculate the Syntex score when patients have very complex disease, but that it's probably less important than we thought it was before. And so that's in a nutshell. The top 10 about the 2021 coronary revascularization guidelines that I'll be talking about at the American Heart Association Created by Related Presenters Jennifer Lawton, MD Chief, Division of Cardiac SurgeryProfessor of Surgery Expertise: Aortic Aneurysms, Aortic Dissections, Aortic Surgery, Cardiac Care, Cardiac masses, Cardiac Surgery, Cardiothoracic Surgery, Cardiovascular Diseases, Cardiovascular Surgery, Coronary Artery Bypass Graft Surgery (CABG), Coronary ... View full profile
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