What are the 2014 ACC/AHA guidelines for coronary artery bypass grafting (CABG) after failed percutaneous coronary intervention (PCI) in the treatment of myocardial infarction (MI, heart attack)?

Updated: May 07, 2019
  • Author: A Maziar Zafari, MD, PhD, FACC, FAHA; Chief Editor: Eric H Yang, MD  more...
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Answer

ACC/AHA recommendations for emergency CABG after failed PCI include the following [130] :

  • Ongoing ischemia or threatened occlusion with substantial myocardium at risk (Class I)
  • Hemodynamic compromise without impairment of coagulation and without a previous sternotomy (Class I)
  • Hemodynamic compromise with impairment of coagulation and without a previous sternotomy (Class IIa)
  • Hemodynamic compromise and previous sternotomy (Class IIb)
  • Retrieval of a foreign body (eg, fractured guidewire or stent) in a crucial location (Class IIa)

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