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Updated: Oct 2, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
The Heart Team for Coronary Revascularization Decisions: 2 Illustrative Cases
Thomas S Metkus1, Theresa M Beckie2, Mauricio G Cohen3
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Insights
The multidisciplinary heart team is crucial for making patient-centered decisions in coronary artery disease revascularization. These cases illustrate complex heart team decision-making for optimal patient care.
Area of Science:
- Cardiology
- Interventional Cardiology
- Clinical Decision-Making
Background:
- The 2021 ACC/AHA/SCAI guideline emphasizes the multidisciplinary heart team for coronary artery disease (CAD) revascularization.
- Patient-centered, evidence-based decisions are paramount for complex CAD cases.
Observation:
- Presents two distinct clinical cases involving complex coronary artery disease.
- Highlights the practical application of heart team collaboration in challenging scenarios.
Findings:
- Demonstrates the iterative and collaborative process of heart team decision-making.
- Illustrates how multidisciplinary input guides revascularization strategies for complex CAD.
Implications:
- Reinforces the value of the heart team approach in optimizing outcomes for patients with complex coronary artery disease.
- Provides practical insights for clinicians managing patients requiring coronary revascularization.
Abstract:
The 2021 ACC/AHA/SCAI coronary artery disease revascularization guideline highlights the importance of the multidisciplinary heart team in making patient-centered, evidence-based clinical decisions for patients considered for coronary revascularization. We present 2 cases highlighting aspects of heart team decision making for complex patients with coronary artery disease. (Level of Difficulty: Intermediate.).
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