title: Same-day combined percutaneous coronary intervention and coronary artery surgery.
abstract: BACKGROUND
  Either percutaneous coronary intervention (PCI) or coronary artery bypass grafting can be chosen for the treatment of multiple-vessel coronary artery disease. We report the results of a hybrid procedure performed on the same day, combining PCI of the right coronary artery and internal mammary artery bypass grafting of the left coronary artery, for the treatment of diffuse extensive lesions.
  
  
  RESULTS
  Since January 2000, 70 patients (53 male, mean age 68.5 +/- 10 years) underwent this hybrid revascularization combining primary right coronary artery PCI and, within the next 16 h, left coronary artery grafting with left and/or right internal mammary artery. Thirty-one patients (98%) were treated on the same day. At a mean follow-up of 33 months (range: 2-70 months), 68 patients (97%) were asymptomatic at the time of writing. Three adverse events were reported: 2 were PCI-related, due to failure to take ticlopidine, and 1 was surgery-related, resulting in the patient's death during hospitalization.
  
  
  CONCLUSIONS
  These preliminary results for a same-day combined procedure in patients with diffuse multivessel coronary artery disease are encouraging. This strategy optimizes revascularization when patients are unstable or present very severe coronary lesions, which requiring rapid treatment and are not ideally suitable for PCI management alone.
authors.affiliation: Department of Cardiology, University of Bretagne Occidentale, Brest, France. martine.gilard@chu-brest.fr
authors.forename: Martine
authors.initials: M
authors.lastname: Gilard
authors.forename: Eric
authors.initials: E
authors.lastname: Bezon
authors.forename: Jean C
authors.initials: JC
authors.lastname: Cornily
authors.forename: Jacques
authors.initials: J
authors.lastname: Mansourati
authors.forename: Philippe
authors.initials: P
authors.lastname: Mondine
authors.forename: Jean A
authors.initials: JA
authors.lastname: Barra
authors.forename: Jacques
authors.initials: J
authors.lastname: Boschat
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures; D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects