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May 14th 2020

SCAI Position Statement on Optimal Interventional Therapy for Complex Coronary Artery Disease

Position Statement Physiology

While the terms “complex CAD” or “high‐risk CAD” have not been formally defined, they encompass both complex anatomic lesions and clinical parameters including advanced age, frailty, comorbidities, compromised hemodynamic status, depressed ventricular function and concomitant valvular disease. Such features increase both the procedural complexity of percutaneous coronary intervention (PCI) and the risk of adverse patient outcomes. This statement aims to:

  • Present state‐of‐the art clinical evidence regarding PCI in patients with complex clinical and anatomical features
  • Provide procedural guidance to achieve optimal outcomes for this challenging patient group