One-stage hybrid procedure: association between awake minimally invasive surgical revascularization and percutaneous coronary intervention.
Hybrid revascularization provides minimally invasive options for high-risk patients with multivessel coronary artery disease. We used a hybrid approach in two patients. The surgical revascularization with the left internal mammary artery (LIMA) on the left descending coronary artery was performed through an inferior j-shaped mini-sternotomy keeping the patients awake with high-epidural thoracic anesthesia. At the end of the operations the patients were moved to the angiography laboratory to complete the revascularization with angioplasty. No complications were reported.
Del Giglio
Mauro
M
Department of Cardiovascular Surgery, Villa Maria Cecilia Hospital, Lugo, RA, Italy.
Dell'Amore
Andrea
A
Zuffi
Andrea
A
Sokoli
Arvit
A
D000369:Aged, 80 and over; D000767:Anesthesia, Epidural; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D012720:Severity of Illness Index; D013249:Sternum / Q000601:surgery; D013904:Thoracic Vertebrae; D016896:Treatment Outcome