Table A

Focused Update: New or Revised Indications

IndicationAppropriate Use Score (1–9)
Patients With Acute Coronary Syndromes
9.
  • UA/NSTEMI and low-risk features (e.g., TIMI score ≤2) for short-term risk of death or nonfatal MI

  • Revascularization of the presumed culprit artery

U (6)
10.
  • UA/NSTEMI and intermediate-risk features (e.g., TIMI score 3–4) for short-term risk of death or nonfatal MI

  • Revascularization of the presumed culprit artery

A (8)
Patients Without Prior Bypass Surgery Asymptomatic
20.
  • One- or 2-vessel CAD without involvement of proximal LAD

  • No noninvasive testing performed

I (3)
Method of Revascularization: Multivessel CAD, CCS Angina Greater Than or Equal to Class III, and/or Evidence of Intermediate- to High-Risk Findings on Noninvasive Testing
PCICABG
62.
  • Two-vessel CAD with proximal LAD stenosis

A (7)A (8)
63.
  • Three-vessel CAD with low CAD burden (i.e., 3 focal stenoses, low SYNTAX score)

A (7)A (9)
64.
  • Three-vessel CAD with intermediate to high CAD burden (i.e., multiple diffuse lesions, presence of CTO, or high SYNTAX score)

U (4)A (9)
65.
  • Isolated left main stenosis

U (6)A (9)
66.
  • Left main stenosis and additional CAD with low CAD burden (i.e., 1- to 2-vessel additional involvement, low SYNTAX score)

U (5)A (9)
67.
  • Left main stenosis and additional CAD with intermediate to high CAD burden (i.e., 3-vessel involvement, presence of CTO, or high SYNTAX score)

I (3)A (9)

A = appropriate; CAD = coronary artery disease; CCS = Canadian Cardiovascular Society; CTO = chronic total occlusion; I = inappropriate; LAD = left anterior descending coronary artery; MI = myocardial infarction; SYNTAX = Synergy Between PCI With TAXUS and Cardiac Surgery; TIMI = Thrombolysis In Myocardial Infarction; U = uncertain; UA/NSTEMI = unstable angina/non–ST-segment elevation myocardial infarction.