Costa Francesco, Ariotti Sara, Valgimigli Marco, Kolh Philippe, Windecker Stephan
Thoraxcenter, Erasmus Medical Center, 3015 CE, Rotterdam, The Netherlands.
J Cardiovasc Transl Res. 2015 Jun;8(4):211-20. doi: 10.1007/s12265-015-9632-6. Epub 2015 May 19.
The joint European Society of Cardiology and European Association of Cardio-Thoracic Surgery (ESC/EACTS) guidelines on myocardial revascularization collect and summarize the evidence regarding decision-making, diagnostics, and therapeutics in various clinical scenarios of coronary artery disease, including elective, urgent, and emergency settings. The 2014 document updates and extends the effort started in 2010, year of the first edition of these guidelines. Importantly, this latest edition provides a systematic review of all randomized clinical trials performed since 1980, comparing different strategies of myocardial revascularization, including coronary artery bypass graft (CABG), balloon angioplasty, percutaneous coronary intervention (PCI) with bare-metal stents (BMS) and first- and second-generation drug-eluting stents (DES). This review aims to highlight the most relevant novelties introduced by the 2014 edition of the ESC/EACTS myocardial revascularization guidelines as compared with the previous edition and to describe similarities and differences with the American societies' guidelines.
欧洲心脏病学会和欧洲心胸外科学会（ESC/EACTS）联合发布的心肌血运重建指南收集并总结了冠状动脉疾病各种临床场景中有关决策、诊断和治疗的证据，包括择期、紧急和急诊情况。2014年的这份文件更新并扩展了始于2010年（即这些指南第一版发布之年）的工作。重要的是，最新版对自1980年以来进行的所有比较不同心肌血运重建策略的随机临床试验进行了系统回顾，这些策略包括冠状动脉旁路移植术（CABG）、球囊血管成形术、使用裸金属支架（BMS）以及第一代和第二代药物洗脱支架（DES）的经皮冠状动脉介入治疗（PCI）。本综述旨在突出ESC/EACTS 2014年版心肌血运重建指南相较于上一版引入的最相关新内容，并描述与美国学会指南的异同。
