2021
DOI: 10.21470/1678-9741-2021-0952
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The Latin American Association of Cardiac and Endovascular Surgery statement regarding the recently released 2020 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease

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“…The 2021 American College of Cardiology/ American Heart Association/Society for Cardiovascular Angiography and Interventions (ACC/AHA/ SCAI) Guidelines for Coronary Artery Revascularization has modified some of these previously accepted recommendations, raising concerns from many surgical and cardiovascular societies worldwide [11 && , [12][13][14]. Three key concerns with the new guidelines are: downgrading of the strength of recommendation (COR) for revascularization by CABG in stable CAD, unclear consideration of reported outcomes differences between CABG and PCI, and significant increase in the strength of recommendation to use a radial artery as a preferred second conduit for bypass to the second most important non-LAD stenosis without qualifiers on patient and anatomic selection (Fig.…”
Section: Introductionmentioning
confidence: 99%
“…The 2021 American College of Cardiology/ American Heart Association/Society for Cardiovascular Angiography and Interventions (ACC/AHA/ SCAI) Guidelines for Coronary Artery Revascularization has modified some of these previously accepted recommendations, raising concerns from many surgical and cardiovascular societies worldwide [11 && , [12][13][14]. Three key concerns with the new guidelines are: downgrading of the strength of recommendation (COR) for revascularization by CABG in stable CAD, unclear consideration of reported outcomes differences between CABG and PCI, and significant increase in the strength of recommendation to use a radial artery as a preferred second conduit for bypass to the second most important non-LAD stenosis without qualifiers on patient and anatomic selection (Fig.…”
Section: Introductionmentioning
confidence: 99%
“…In times of extreme pressure on health resources, regardless of the countries’ economic position, adopting a new technology that is five to 10 times more expensive than the existing standard, with inferior results, seems illogical and requires serious reflection ( 16 ) .…”
mentioning
confidence: 99%