Patient Selection and Appropriate Use Criteria

The American College of Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, and American Association for Thoracic Surgery, and other societies, developed and published appropriate use criteria (AUC) for coronary revascularization initially in 2009 [1, 2]. The AUC were updated in 2012, and more recently in 2017. The primary purpose of the AUC is to provide a framework to assess clinical practice patterns, expand physician decision-making, and improve the quality of care [1]. Since the publication of the AUC for coronary revascularization in 2009, the volume of nonacute PCI has significantly decreased [3, 4]. Moreover, the proportion of nonacute PCI’s classified as inappropriate has also declined [3].