J Transcat Intervent.2019;27:eA201906.
Hybrid coronary revascularization in multivessel coronary artery disease: what is the real role of the technique?
Vinícius Borges Cardozo Esteves
, Pedro Alves Lemos Neto
DOI: 10.31160/JOTCI201927A201906
ABSTRACT
The best treatment option for patients with complex multivessel coronary artery disease remains uncertain. In association with optimal medical therapy, coronary artery bypass graft surgery and percutaneous coronary intervention have been compared over the past decades. Hybrid coronary revascularization applies the best of both strategies, aiming at complete revascularization and lower rates of major adverse cardiovascular events. The technique comprises the use of left internal mammary artery connected to the left anterior descending artery, combining off pump and minimally invasive direct coronary artery bypass with percutaneous coronary intervention to right coronary artery and circumflex artery territories. This review aims to analyze the indications, patient selection, technical aspects, available data in the literature and perspectives of this interesting revascularization strategy.
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