The Living Guidelines: UA/NSTEMI Recommendations for UA/NSTEMI in Post CABG Patients Suggest Revisions to the CLASS IIa Guidelines

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Class IIa Guidelines

 * 1) Repeat CABG is reasonable for UA / NSTEMI patients with multiple SVG stenoses, especially when there is significant stenosis of a graft that supplies the LAD. PCI is reasonable for focal saphenous vein graft stenosis. (Level of Evidence: C)  (Note that an intervention on a native vessel is generally preferable to that on a vein graft that supplies the same territory, if possible.)
 * 2) Stress testing with imaging in UA / NSTEMI post CABG patients is reasonable. (Level of Evidence: C)