Thomas A. Pearson|E Rapaport|Michael H. Criqui|Curt D. Furberg|Valent??n Fuster|L Hiratzka|W. A. Little|Ira S. Ockene|George W. Williams
Optimal risk factor management in the patient after coronary revascularization. A statement for healthcare professionals from an American Heart Association Writing Group.
membersr evascularization coronary artery bypass graft surgery cabg percutaneous transluminal coronary angioplasty ptca well accepted method relieving anginal pain thus improving quality lifein addition cabg shown improve survival certain subgroups patients coronary disease led widespread use procedure revascularizationin 1991 407 000 bypasses 303 000 ptca procedures performedcurrently coronary atherectomy var ious laser techniques coronary stents evaluated additional approaches revascularizationwhile often effective risk complica tions cabg ptcathese procedures also costly require skilled personnel sophisti cated equipment hospitalizationthus proba bility longterm success optimized maximum patient benefit best use healthcare resourcesshortand longterm failure rates procedures definedapproximately 10 20 cabg procedures united states performed patients previously undergone procedure large part closure bypass grafts thrombosis accelerated athero sclerosisrestenosis rates ptca atherectomy 6 months 4023the patient undergoes revascularization probably atherosclerotic disease coronary arteries vascular beds eg cerebrovascular peripheral arteriesthe renewed interest preventive interventions patients undergoing revascularization derived variety sources including improved understanding role risk factors atherosclerotic thrombotic diseases results clinical observations documenting role risk factors revascularization failure results clinical trials specifically tested ability prevent disease progression recurrence evidence interventions costeffective optimal risk factor management patient coro nary revascularization approved sacsteering com mittee american heart association june 16 1994