The FAA has amended the required observation and recovery time for applicants who have had coronary artery disease treated with uncomplicated Percutaneous Transluminal Coronary Angioplasty (PTCA) with stent placement. For all classes of medical certification, a three-month recovery and stabilization period is now required after most stent procedures (See details below). The requirements now include:
A current cardiovascular evaluation that must include:
*An unlimited second-class medical has no functional limitations. A limited second-class medical may be issued, sometimes without the need for repeat coronary angiography, to pilots who need limited commercial privileges; however, a nuclear exercise treadmill test will be required for limited second class consideration. The limitations usually include "Not valid for carrying passengers or cargo for compensation or hire," "Not valid for PIC," or "Valid only when serving as a pilot member of a fully qualified two pilot crew." A limited second class also allows full third class privileges.
Six months of observation and recovery is still required for all classes if treatment included coronary artery bypass surgery with open revascularization using cardio-pulmonary bypass.
For all classes, a stent to the left main coronary artery requires six months of recovery.
After initial certification by FAA staff doctors, subsequent 3rd class renewals for the above conditions qualify for AME Assisted Special Issuance (AASI), a process that provides examiners the ability to issue an airman medical certificate to an applicant who has a medical condition that is disqualifying under 14 CFR Part 67.
The authorization letter received from FAA, granted in accordance with part 67 (14 CFR Part 67.401), is accompanied by attachments that specify what information the treating physician(s) must provide for the renewal issuance.
Examiners may issue renewal of an airman medical certificate if the applicant provides the following:
The examiner should defer renewal certification to the AMCD or Region if the airman's condition has adversely changed.
How and Where to Submit Medical Records to the FAA
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