title: Hybrid coronary artery revascularization: logistics and program development.
abstract: Planning hybrid coronary artery revascularization--a combination of cardiac surgery with percutaneous procedures--requires, at first sight, a very complex logistical setup. Technical and equipment related details should be defined as early as possible in order to have time for training of all OR personnel involved. The most challenging aspect in OR-located hybrid coronary revascularization remains a very close cooperation of cardiac surgeons and interventional cardiologists. This teamwork does include indication findings and subsequent referral of multivessel coronary artery disease patients to hybrid procedures, as well as high individual flexibility of interventionalists and surgeons. The major prerequisite for this cooperation is a mutual acceptance of different revascularization approaches and the intent to combine their most striking advantages. Intraoperative graft angiography during coronary artery bypass grafting (CABG) procedures is one important step toward simultaneous hybrid coronary revascularization procedures. We describe our experience with on table angiography using a mobile C-arm for intraoperative imaging. This fluoroscopy system can in selected cases be used for simultaneous hybrid procedures.
authors.affiliation: Department of Cardiology, Innsbruck Medical University, Innsbruck, Austria. guy.friedrich@uklibk.ac.at
authors.forename: Guy J
authors.initials: GJ
authors.lastname: Friedrich
authors.forename: Patricja
authors.initials: P
authors.lastname: Jonetzko
authors.forename: Nikos
authors.initials: N
authors.lastname: Bonaros
authors.forename: Thomas
authors.initials: T
authors.lastname: Schachner
authors.forename: Michael
authors.initials: M
authors.lastname: Danzmayr
authors.forename: Ruth
authors.initials: R
authors.lastname: Kofler
authors.forename: G
authors.initials: G
authors.lastname: Laufer
authors.forename: O
authors.initials: O
authors.lastname: Pachinger
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods*; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D016343:Monitoring, Intraoperative / Q000379:methods