A review of hybrid coronary revascularization
Autor: | Michael O. Kayatta, Michael E. Halkos |
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Rok vydání: | 2018 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Hybrid coronary revascularization business.industry medicine.medical_treatment Review Article 030204 cardiovascular system & hematology Vascular surgery medicine.disease Revascularization Surgery Cardiac surgery Coronary artery disease 03 medical and health sciences 0302 clinical medicine Bypass surgery Cardiothoracic surgery medicine Robotic surgery 030212 general & internal medicine Cardiology and Cardiovascular Medicine business |
Zdroj: | Indian J Thorac Cardiovasc Surg |
ISSN: | 0973-7723 |
Popis: | PURPOSE: Hybrid coronary revascularization is an emerging treatment strategy for coronary artery disease. We will review the reasons for the development of this strategy, describe surgical techniques, and review outcomes. Finally, we will discuss the future of hybrid revascularization and explain why it will grow as a treatment modality. METHODS: For this review, we conducted an unstructured review of the literature for articles related to hybrid coronary revascularization, bypass surgery, and percutaneous coronary interventions. RESULTS: Hybrid coronary revascularization has been shown in large series to have excellent results. These include fast recovery time, low mortality and rates of complications, and excellent surgical graft patency. There may be increased need for revascularization over conventional bypass surgery. CONCLUSIONS: The combination improved surgical techniques including a robotic surgery platform, as well as the ever-improving efficacy and durability of coronary stents have made hybrid coronary revascularization an attractive option for many patients. It offers a minimally invasive approach to surgery while avoiding the poor patency of saphenous vein grafts. In appropriately selected patients, this may be an ideal treatment strategy that minimizes risks and maximizes short- and long-term benefits. |
Databáze: | OpenAIRE |
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