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Hybrid Coronary Revascularization as a Safe, Feasible, and Viable Alternative to Conventional Coronary Artery Bypass Grafting : What Is the Current Evidence?
Joint Authors
van Garsse, Leen
Accord, Ryan E.
Maessen, Jos G.
Verhaegh, Arjan J. F. P.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-03
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
The “hybrid” approach to multivessel coronary artery disease combines surgical left internal thoracic artery (LITA) to left anterior descending coronary artery (LAD) bypass grafting and percutaneous coronary intervention of the remaining lesions.
Ideally, the LITA to LAD bypass graft is performed in a minimally invasive fashion.
This review aims to clarify the place of hybrid coronary revascularization (HCR) in the current therapeutic armamentarium against multivessel coronary artery disease.
Eighteen studies including 970 patients were included for analysis.
The postoperative LITA patency varied between 93.0% and 100.0%.
The mean overall survival rate in hybrid treated patients was 98.1%.
Hybrid treated patients showed statistically significant shorter hospital length of stay (LOS), intensive care unit (ICU) LOS, and intubation time, less packed red blood cell (PRBC) transfusion requirements, and lower in-hospital major adverse cardiac and cerebrovascular event (MACCE) rates compared with patients treated by on-pump and off-pump coronary artery bypass grafting (CABG).
This resulted in a significant reduction in costs for hybrid treated patients in the postoperative period.
In studies completed to date, HCR appears to be a promising and cost-effective alternative for CABG in the treatment of multivessel coronary artery disease in a selected patient population.
American Psychological Association (APA)
Verhaegh, Arjan J. F. P.& Accord, Ryan E.& van Garsse, Leen& Maessen, Jos G.. 2013. Hybrid Coronary Revascularization as a Safe, Feasible, and Viable Alternative to Conventional Coronary Artery Bypass Grafting : What Is the Current Evidence?. Minimally Invasive Surgery،Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-449119
Modern Language Association (MLA)
Verhaegh, Arjan J. F. P.…[et al.]. Hybrid Coronary Revascularization as a Safe, Feasible, and Viable Alternative to Conventional Coronary Artery Bypass Grafting : What Is the Current Evidence?. Minimally Invasive Surgery No. 2013 (2013), pp.1-10.
https://search.emarefa.net/detail/BIM-449119
American Medical Association (AMA)
Verhaegh, Arjan J. F. P.& Accord, Ryan E.& van Garsse, Leen& Maessen, Jos G.. Hybrid Coronary Revascularization as a Safe, Feasible, and Viable Alternative to Conventional Coronary Artery Bypass Grafting : What Is the Current Evidence?. Minimally Invasive Surgery. 2013. Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-449119
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449119