The Japanese Society for Cardiovascular Surgery, The Japanese Association for Thoracic Surgery and The Japanese Association for Coronary Artery Surgery Do Not Endorse Chapter 7.1 in the 2021 ACC/AHA/SCAI Coronary Revascularization Guidelines.

Abstract

The new ACC/AHA/SCAI Coronary Revascularization Guidelines (doi: 10.1161/ CIR.0000000000001038) downgraded coronary artery bypass grafting (CABG) from a class of recommendation (COR) I to IIb in patients with stable ischemic heart disease (SIHD), normal ejection fraction, significant stenosis in 3 major coronary arteries (with or without proximal LAD), and anatomy suitable for CABG. The ISCHEMIA trial was cited by the guidelines committee to support these downgrades.