The Current State of Hybrid Coronary Revascularization.

coronary artery bypass grafting hybrid coronary revascularization minimally invasive cardiac surgery

Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
25 Apr 2024
Historique:
received: 30 09 2023
revised: 15 02 2024
accepted: 04 04 2024
medline: 28 4 2024
pubmed: 28 4 2024
entrez: 27 4 2024
Statut: aheadofprint

Résumé

Hybrid coronary revascularization (HCR) combines a minimally invasive surgical approach with percutaneous coronary intervention (PCI) for the treatment of multi-vessel coronary artery disease. Despite decades of use, widespread acceptance has been limited. In this review, we conduct a comparative assessment of HCR in relation to traditional coronary artery bypass graft surgery and multi-vessel PCI. While large scale randomized data is still lacking, numerous studies have demonstrated that HCR may offer benefits regarding resource utilization and short-term morbidity, while delivering comparable mid- and long-term survival compared to traditional bypass surgery. Compared to PCI, HCR may offer similar peri-procedural morbidity, while mitigating the need for repeat revascularization by providing a surgical arterial bypass graft to the left anterior descending artery.

Identifiants

pubmed: 38677447
pii: S0003-4975(24)00299-6
doi: 10.1016/j.athoracsur.2024.04.010
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Inc.

Auteurs

Robin Willard (R)

Department of Cardiovascular & Thoracic Surgery, Lenox Hill Hospital / Northwell Health, New York, NY, USA.

Joshua Scheinerman (J)

Department of Cardiothoracic Surgery, New York University Grossman School of Medicine, New York, NY, USA.

Stevan Pupovac (S)

Department of Cardiovascular & Thoracic Surgery, North Shore University Hospital / Northwell Health, New York, NY, USA.

Nirav C Patel (NC)

Department of Cardiovascular & Thoracic Surgery, Lenox Hill Hospital / Northwell Health, New York, NY, USA. Electronic address: nipatel@northwell.edu.

Classifications MeSH