RT Book, Section
A1 Klein, Lloyd W.
A2 Samady, Habib
A2 Fearon, William F.
A2 Yeung, Alan C.
A2 King III, Spencer B.
SR Print(0)
ID 1146606829
T1 Appropriate Use Criteria for Revascularization
T2 Interventional Cardiology, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071820363
LK accesscardiology.mhmedical.com/content.aspx?aid=1146606829
RD 2024/04/19
AB The  Appropriate  Use  Criteria  for  Revascularization  (AUC)  is  a  vital  instrument  supporting  high-quality  interventional  practice  that  presents,  in  a  pragmatic  format,  the  optimal  application  of  the  evidence  base  and  existing  guidelines  to  patient  selection  for  percutaneous  coronary  intervention  (PCI).  It  is  a  meaningful  response  to  concerns  of  overutilization,  serves  as  a  quality  metric,  and  establishes  the  relative  roles  of  coronary  artery  bypass  graft  surgery  (CABG)  and  medical  therapy  in  patients  with  both  stable  ischemic  heart  disease  (SIHD)  and  acute  coronary  syndromes  (ACS).  The  original  AUC1  and  a  focused  update2  set  the  standard  of  practice  regarding  optimal  patient  selection  for  PCI.  The  AUC  has  broad  implications  for  the  future  of  cardiovascular  health  care,  especially  in  regard  to  case  selection,  treatment  options,  and  reimbursement.  In  the  future,  it  will  become  the  foundation  for  tethering  payment  decisions  and  quality  assessment  to  patient-centered  therapeutic  decision  making.  Limitations  of  the  first  version  have  been  extensively  articulated,  and  a  subsequent  revision  has  been  published  improve  the  criteria  so  they  more  meticulously  take  into  account  how  interventional  cardiologists  evaluate  scientific  data  and  apply  those  conclusions  to  individual  revascularization  decisions.