Original articleAdult cardiacHybrid Coronary Revascularization Versus On-Pump Coronary Artery Bypass Grafting
Section snippets
Study Population
Our sample consisted of all double on-pump CABG (n = 682) and HCR (n = 147; robotic-assisted minimally invasive bypass graft of the LITA to the LAD and PCI to one of non-LAD vessels) performed in our institution between March 2004 and November 2015. In the HCR group, all patients had a preoperative computed tomography scan of the thorax and pulmonary function test. Selection criteria included patients with double-vessel disease in whom the LAD lesion was not suitable for PCI but was suitable
Results
A total of 546 patients underwent on-pump double CABG, and 144 patients underwent HCR. Mean (± SD) age was 65 ± 10 years in the CABG group and 62 ± 11 years in the HCR group. The majority of patients were male in both groups. The demographics, cardiovascular risk factors, and comorbidities of the population are listed in Table 1. All patients underwent complete revascularization. In the CABG group, the non-LAD revascularization target was the circumflex artery in 233 cases (43%) and right
Comment
In the current study, we present the first analysis of a comparison of two-vessel disease (involving the LAD as one of the non-LAD vessels) treated with two different approaches, HCR (combining robotic-assisted minimally invasive CABG of the LITA to the LAD with PCI of the non-LAD vessels) and conventional on-pump CABG (including a LITA to LAD graft and another graft to one of the non-LAD vessels). Compared with conventional on-pump CABG, HCR performed at least equally as well, with some
References (14)
- et al.
Status quo of hybrid coronary revascularization for multi-vessel coronary artery disease
Ann Thorac Surg
(2013) - et al.
Clinical outcomes after hybrid coronary revascularization versus coronary artery bypass surgery: a meta-analysis of 1,190 patients
Am Heart J
(2014) - et al.
Comparison of 30-day outcomes of coronary artery bypass grafting surgery versus hybrid coronary revascularization stratified by SYNTAX and EuroSCORE
J Thorac Cardiovasc Surg
(2013) - et al.
Simultaneous integrated coronary artery revascularization with long-term angiographic follow-up
J Thorac Cardiovasc Surg
(2008) - et al.
2014 ESC/EACTS guidelines on myocardial revascularization: the task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)
Eur Heart J
(2014) - et al.
2011 ACCF/AHA guideline for coronary artery bypass graft surgery: executive summary. A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines
Circulation
(2011) - et al.
2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and The Society of Thoracic Surgeons
Circulation
(2014)
Cited by (33)
Less Invasive and Hybrid Surgical/Interventional Coronary Disease Management: The Future Is Now
2024, Canadian Journal of CardiologyMinimally invasive coronary bypass grafting: Techniques and outcomes
2023, Cirugia CardiovascularRobotic advanced hybrid coronary revascularization: Outcomes with two internal thoracic artery grafts and stents
2022, JTCVS TechniquesCitation Excerpt :Early angiographic patency in this study was 98% overall and 100% for LITA-LAD grafts. Our midterm outcomes were comparable to the results of traditional CABG and to the series of simple HCR in patients with 2-vessel disease discussed,10,11 despite the fact that the overwhelming majority of patients in this series had 3-vessel disease with high preoperative SYNTAX scores. The risk of incomplete revascularization should not be underestimated using this approach.
Minimally invasive direct coronary artery bypass (MIDCAB)
2020, Cirugia CardiovascularHybrid Coronary Revascularization - Current State of the Art
2019, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :These studies have shown the safety and efficacy of HCR in comparison to conventional surgical and interventional revascularization techniques. Some of the more recent studies are presented in Table 1.58-65 These case series have confirmed that HCR can be accomplished safely with low operative mortality (<2%) and low morbidity.
EFFECTS OF TAI CHI EXERCISES ON PHYSICAL ACTIVITY AND PULMONARY FUNCTION IN PATIENTS WITH CORONARY ARTERY BYPASS GRAFTING
2023, Journal of Medical Sciences (Peshawar)