Table 2

Recommendations for percutaneous coronary intervention (PCI) versus coronary artery bypass grafting (CABG)

Published clinical guidelines rather than aeromedical considerations should be the primary consideration for determining revascularisation with PCI or CABG.Strongly recommended
A waiting period of at least 6 months after revascularisation is required before assessing aircrew for return to flight status.Strongly recommended
For aircrew being considered for proximal left anterior descending coronary artery (LAD) revascularisation, proactive consideration should be given to the left internal mammary artery (LIMA) graft over PCI, given long term benefit.Recommended
Revascularisation may be considered for occupational risk modification outside clinical indications after thorough discussion and consent with the aircrew.Consider