ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization

(Published online 5 January 2009)
A Report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology

Coronary revascularization is appropriate when the expected benefits, in terms of survival or health outcomes (symptoms, functional status, and/or quality of life) exceed the expected negative consequences of the procedure.

The technical panel scored each indication on a scale from 1 to 9 as follows:
Appropriate : Score 7 to 9
Appropriate for the indication provided, meaning coronary revascularization is generally acceptable and is a reasonable approach for the indication and is likely to improve the patients’ health outcomes or survival.

Uncertain : Score 4 to 6
Uncertain for the indication provided, meaning coronary revascularization may be acceptable and may be a reasonable approach for the indication but with uncertainty implying that more research and/or patient information is needed to further classify the indication.
Inappropriate : Score 1 to 3
Inappropriate for the indication provided, meaning coronary revascularization is not generally acceptable and is not a reasonable approach for the indication and is unlikely to improve the patients’ health outcomes or survival.

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