ANZSCTS response to the discussion paper: proposed recommendations for myocardial revascularisation.

Abstract

The Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) does not accept the CSANZ draft Position Statement published in this edition as Discussion Paper: Proposed Recommendation for Myocardial Revascularisation. Earlier this year, ANZSCTS chose to adopt the 2010 ESC/EACTS Guidelines on Myocardial Revascularisation for the following reasons: first, these guidelines represented the most up-to-date and complete appraisal of the literature in light of the SYNTAX trial, and other studies performed with the newer generation stents and CABG techniques; second, they included a proportionate number of cardiologists and surgeons and therefore may be considered to be non-partisan; third, the European Guidelines introduced the concept of ‘the Heart Team’ which reflected the importance of multidisciplinary decision-making in patients with stable, complex coronary disease.