Hybrid Coronary Revascularization Approaches: A Comprehensive Clinical Outcome Review

doi:N/A

eISSN: 1994-4624 / ISSN: 1813-176x

International Journal of Molecular Medicine and Advance Sciences

2020, Volume 16, Issue 1 : 26-31

Research Article

Hybrid Coronary Revascularization Approaches: A Comprehensive Clinical Outcome Review

Imran Saeed

Elina Verma

Leon Martinez

Department of Cardiothoracic Surgery, Crescent Heart Institute, New Delhi, India

Division of Interventional Cardiology, GlobalCare Medical Center, Singapore

Department of Medical Biostatistics, Oxford College of Health Sciences, UK

Received

March 23, 2020

Revised

April 12, 2020

Accepted

May 19, 2020

Published

June 30, 2020

Abstract

Hybrid Coronary Revascularization (HCR) combines minimally invasive coronary artery bypass grafting (CABG), typically using a left internal mammary artery (LIMA) graft to the left anterior descending artery (LAD), with percutaneous coronary intervention (PCI) using drug-eluting stents (DES) for non-LAD lesions. This approach aims to merge the benefits of durable surgical grafts with reduced procedural morbidity and faster recovery associated with PCI. This study evaluates clinical outcomes, mortality, long-term patency, and repeat revascularization rates in 1,070 patients who underwent HCR across three tertiary centers over six years. HCR demonstrated lower repeat revascularization (11.4%) compared to conventional CABG alone (15.7%) and multi-vessel PCI (22.3%). Hospital stay duration and intensive care utilization were significantly reduced. The findings support HCR as a viable alternative for multi-vessel coronary artery disease, particularly in high-risk patients.

Keywords

Hybrid coronary revascularization

CABG

PCI

Drug-eluting stents

Coronary artery disease

Minimally invasive surgery

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