Hybrid coronary artery revascularization--review and update 2007.
Hybrid coronary revascularization is a combination of minimally invasive coronary artery bypass grafting and percutaneous coronary intervention in patients with multivessel coronary artery disease. The concept is now 10 years old. Implementation was slow, but major developments have taken place. The surgical part of the procedure can be performed in a totally endoscopic fashion instead of by a mini-incision approach and catheter-based intervention includes the use of drug-eluting stents. Whereas during early development staged approaches were taken, simultaneous interventions have become feasible. Hybrid procedures are an attractive option for high-risk patients or for patients who seek a less traumatic revascularization option.
Friedrich
Guy J
GJ
Department of Cardiology, Innsbruck Medical University, Innsbruck, Austria. guy.friedrich@uki.at
Bonatti
Johannes
J
D015906:Angioplasty, Balloon, Coronary / Q000639:trends*; D002986:Clinical Trials as Topic / Q000639:trends; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000639:trends*; D003324:Coronary Artery Disease / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000639:trends*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000639:trends