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Chronic Coronary Artery Disease Management - Dr Cutlip.pdf

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Assessment and Treatment of CAD<br />

Proposed Algorithm<br />

• Revascularization Strategy<br />

– For patients who fail medical therapy or who have<br />

high risk stress test or clinical history<br />

– Stenting versus CABG<br />

• Stenting reasonable for 1-2 vessel disease not<br />

involving proximal LAD<br />

• If proximal LAD involved consider CABG instead if<br />

good surgical candidate<br />

• If 3 vessel CAD, CABG preferred unless higher<br />

than acceptable risk

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