title: Perspectives on the 2014 ESC/EACTS Guidelines on Myocardial Revascularization : Fifty Years of Revascularization: Where Are We and Where Are We Heading?
abstract: 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.
authors.affiliation: Thoraxcenter, Erasmus Medical Center, 3015 CE, Rotterdam, The Netherlands.
authors.forename: Francesco
authors.initials: F
authors.lastname: Costa
authors.forename: Sara
authors.initials: S
authors.lastname: Ariotti
authors.forename: Marco
authors.initials: M
authors.lastname: Valgimigli
authors.forename: Philippe
authors.initials: P
authors.lastname: Kolh
authors.forename: Stephan
authors.initials: S
authors.lastname: Windecker
mesh_terms: D032921:Consensus; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000266:history / Q000401:mortality / Q000592:standards*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000266:history / Q000401:mortality / Q000628:therapy*; D023921:Coronary Stenosis / Q000175:diagnosis / Q000266:history / Q000401:mortality / Q000628:therapy*; D019317:Evidence-Based Medicine; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000266:history / Q000295:instrumentation / Q000401:mortality / Q000592:standards*; D016032:Randomized Controlled Trials as Topic; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome