Sophia Antipolis & Windsor, 6 October 2020: The European Society of Cardiology (ESC) and the European Association for Cardiothoracic Surgery (EACTS) have agreed to collaborate in reviewing the most up-to-date evidence for the treatment of patients with left main coronary artery stenosis as soon as it is available. In particular, the organisations wish to review their joint guidelines1 in the light of emerging, longer term outcome data from the trials of CABG vs PCI and an independent patient-level meta-analysis of these trials that is currently under way.
The two organisations will establish a robust and transparent process to review this new evidence.
In the meantime, ESC and EACTS recommend that treatment decisions for individual patients take into account all available published information. As stated in the ESC/EACTS Guidelines on Myocardial Revascularization, a discussion within the heart team and with the patient should be the basis of all treatment decisions.