scholarly journals Robotic hybrid coronary revascularization—A need for strategy specific data

2021 ◽  
Author(s):  
Pradeep Narayan ◽  
Gianni D. Angelini
Keyword(s):  
Coronary Revascularization ◽  
Specific Data ◽  
Hybrid Coronary Revascularization

scholarly journals Robotic Hybrid Coronary Revascularization - a need for strategy specific data.

2021 ◽  
Author(s):  
Pradeep Narayan ◽  
Gianni Angelini
Keyword(s):  
Coronary Revascularization ◽  
Entire Group ◽  
Long Term Outcomes ◽  
Surgical Revascularization ◽  
Specific Data ◽  
Endoscopic Techniques ◽  
Surgical Incisions ◽  
Hybrid Coronary Revascularization ◽  
Definition Of

Robotic totally endoscopic techniques to perform the LITA to LAD graft, coupled with PCI, provides the least invasive option to achieve hybrid coronary revascularization (HCR). Shorter hospital stay and reduced need for blood transfusions have been consistently being reported by several studies along with similar long-term outcomes. Considerable variations exist in the definition of HCR which can be single or two-staged with surgical revascularization being carried out after PCI or vice versa. Variations also exist with respect to usage of cardiopulmonary bypass, surgical incisions, and use of minimally invasive robotic techniques. The different strategies of HCR do not lead to similar outcomes and the findings of one strategy cannot be extrapolated to the entire group. Studies reporting different strategies of HCR, should ideally provide more granular data when reporting outcomes.

Hybrid Coronary Revascularization: An Overview of Options for Anticoagulation and Platelet Inhibition

2010 ◽  
Vol 13 (6) ◽  
pp. E405-E408 ◽  
Author(s):  
David Zimrin ◽  
Johannes Bonatti ◽  
Mark R. Vesely ◽  
Eric J. Lehr
Keyword(s):  
Coronary Revascularization ◽  
Platelet Inhibition ◽  
Hybrid Coronary Revascularization

scholarly journals Standardizing definitions for hybrid coronary revascularization

2014 ◽  
Vol 147 (2) ◽  
pp. 556-560 ◽  
Author(s):  
Ralf E. Harskamp ◽  
Johannes O. Bonatti ◽  
David X. Zhao ◽  
John D. Puskas ◽  
Robbert J. de Winter ◽  
...  
Keyword(s):  
Coronary Revascularization ◽  
Hybrid Coronary Revascularization

Clinical Outcomes after Hybrid Coronary Revascularization versus Off-Pump Coronary Artery Bypass

2009 ◽  
Vol 4 (6) ◽  
pp. 299-306 ◽  
Author(s):  
Thomas A. Vassiliades ◽  
Patrick D. Kilgo ◽  
John S. Douglas ◽  
Vasilis C. Babaliaros ◽  
Peter C. Block ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Internal Mammary Artery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Off Pump ◽  
Internal Mammary ◽  
Hybrid Coronary Revascularization ◽  
Pump Coronary Artery Bypass ◽  
Hybrid Group

Objective Hybrid coronary revascularization is offered as an alternative strategy for patients with multivessel coronary artery disease (CAD). We present our experience and provide a comparative analysis to off-pump coronary artery bypass grafting (OPCAB). Methods Ninety-one patients with multivessel CAD underwent minimally invasive left internal mammary artery to left anterior descending grafting in combination with percutaneous coronary intervention of nonleft anterior descending targets (HYBRID). The primary end point of this study was major adverse cardiac and cerebrovascular events (MACCE), defined as death, stroke, and nonfatal myocardial infarction. MACCE in the HYBRID group were compared with 4175 contemporaneously performed OPCAB operations by logistic (30-day outcomes) and Cox proportional hazards (long-term survival) regression methods. Propensity scoring was used to adjust for potential selection bias. Results The 30-day MACCE (death/stroke/nonfatal myocardial infarction) rate was 1.1% for the HYBRID group (0%/0%/1.1%) and 3.0% for the OPCAB group (1.8%/1.1%/0.5%) (odds ratio = 0.47, P = 0.48). Angiographic left internal mammary artery evaluation was obtained in 95.6% of patients (87 of 91) revealing FitzGibbon A patency in 98.0% (96 of 98). The reintervention rate at 1 year for the HYBRID group was 5.5% (5 of 91) and was limited to repeat percutaneous coronary intervention. Three-year survival was statistically similar for the two groups (hazard ratio = 0.44, P = 0.18, see Kaplan-Meier figure). Conclusions Hybrid coronary revascularization may be noninferior to OPCAB with respect to early MACCE and 3-year survival in the treatment of multivessel CAD.

A nationwide survey on perception, experience, and expectations of hybrid coronary revascularization among top-ranked US hospitals

2015 ◽  
Vol 169 (4) ◽  
pp. 557-563.e6 ◽  
Author(s):  
Ralf E. Harskamp ◽  
Michael E. Halkos ◽  
Ying Xian ◽  
Molly A. Szerlip ◽  
Robert S. Poston ◽  
...  
Keyword(s):  
Coronary Revascularization ◽  
Nationwide Survey ◽  
Hybrid Coronary Revascularization

Hybrid Coronary Revascularization

2013 ◽  
pp. 135-140
Author(s):  
Mukta C. Srivastava ◽  
Bradley Taylor ◽  
David Zimrin ◽  
Mark R. Vesely
Keyword(s):  
Coronary Revascularization ◽  
Hybrid Coronary Revascularization
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