The Living Guidelines: Recommendations for Revascularization with PCI and CABG in Patients with Chronic Stable Angina Suggest Revisions to the CLASS IIa Guidelines

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Class IIa Guidelines

 * 1) Repeat CABG for patients with multiple saphenous vein graft stenosis, especially when there is significant stenosis of a graft supplying the LAD. It may be appropriate to use PCI for focal saphenous vein graft lesions or multiple stenoses in poor candidates for re operative surgery. (Class IIa Level of Evidence: C)
 * 2) Use of PCI or CABG for patients with one or two vessel coronary artery disease without significant proximal LAD disease but with a moderate area of viable myocardium and demonstrable ischemia on non invasive testing. (Class IIa Level of Evidence: B)
 * 3) Use of PCI or CABG for patients with one-vessel disease with significant proximal LAD disease. (Class IIa Level of Evidence: B)