Hybrid Coronary Revascularization: The Future of Coronary Artery Bypass Surgery or an Unfulfilled Promise?
Advancement in technique and technology over the last two decades has helped improve clinical outcomes in both surgical and interventional percutaneous coronary revascularization. Hybrid coronary revascularization (HCR) procedures introduced in 2011 by AHA/ACCF updated guidelines for coronary artery bypass grafting (CABG) surgery 1 combine the superiority of the left internal mammary artery (LIMA) to the left anterior descending artery (LAD) revascularization2,3 with percutaneous coronary intervention by means of drug-eluting stents for non- LAD vessels4. Various minimally invasive surgical approaches are used to perform the LIMA to LAD graft. These approaches and techniques include off pump coronary revascularization, robotically assisted procedures, small left thoracotomy or partial sternotomy.
- Received July 18, 2014.
- Accepted July 18, 2014.