scholarly journals Hybrid Coronary Revascularization: Perspective Current State After 25 Years of Start

2021 ◽  
Vol 24 (2) ◽  
pp. E392-E401
Author(s):  
Ahmed Abdelrahman Elassal ◽  
Khalid Al-Ebrahim ◽  
Adel Mohammad Makhdoom ◽  
Mazin Fatani ◽  
Mohamed Ibrahim
Keyword(s):  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Current Evidence ◽  
Left Anterior Descending Artery ◽  
Artery Graft ◽  
Internal Mammary ◽  
Hybrid Coronary Revascularization ◽  
Good Patency

Hybrid coronary revascularization (HCR) represents a minimally invasive revascularization strategy in which the durability of the internal mammary artery to the left anterior descending artery graft is combined with percutaneous coronary intervention to treat remaining lesions. It first was introduced in the mid-1990s and aspired to bring together the “best of both worlds” – the excellent patency rates and survival benefits associated with the durable left internal mammary artery graft to the left anterior descending artery alongside the good patency rates of drug-eluting stents, which outlive saphenous vein grafts to non–left anterior descending vessels. Although in theory this is a very attractive revascularization strategy, several years later, only small randomized controlled trials comparing HCR with coronary artery bypass grafting has recently emerged in the medical literature, raising concerns regarding HCR’s role. In the current review, we discuss HCR’s rationale, the current evidence behind it, its limitations, and procedural challenges.

Clinical Outcomes after Hybrid Coronary Revascularization versus Off-Pump Coronary Artery Bypass

2009 ◽  
Vol 4 (6) ◽  
pp. 299-306 ◽  
Author(s):  
Thomas A. Vassiliades ◽  
Patrick D. Kilgo ◽  
John S. Douglas ◽  
Vasilis C. Babaliaros ◽  
Peter C. Block ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Internal Mammary Artery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Off Pump ◽  
Internal Mammary ◽  
Hybrid Coronary Revascularization ◽  
Pump Coronary Artery Bypass ◽  
Hybrid Group

Objective Hybrid coronary revascularization is offered as an alternative strategy for patients with multivessel coronary artery disease (CAD). We present our experience and provide a comparative analysis to off-pump coronary artery bypass grafting (OPCAB). Methods Ninety-one patients with multivessel CAD underwent minimally invasive left internal mammary artery to left anterior descending grafting in combination with percutaneous coronary intervention of nonleft anterior descending targets (HYBRID). The primary end point of this study was major adverse cardiac and cerebrovascular events (MACCE), defined as death, stroke, and nonfatal myocardial infarction. MACCE in the HYBRID group were compared with 4175 contemporaneously performed OPCAB operations by logistic (30-day outcomes) and Cox proportional hazards (long-term survival) regression methods. Propensity scoring was used to adjust for potential selection bias. Results The 30-day MACCE (death/stroke/nonfatal myocardial infarction) rate was 1.1% for the HYBRID group (0%/0%/1.1%) and 3.0% for the OPCAB group (1.8%/1.1%/0.5%) (odds ratio = 0.47, P = 0.48). Angiographic left internal mammary artery evaluation was obtained in 95.6% of patients (87 of 91) revealing FitzGibbon A patency in 98.0% (96 of 98). The reintervention rate at 1 year for the HYBRID group was 5.5% (5 of 91) and was limited to repeat percutaneous coronary intervention. Three-year survival was statistically similar for the two groups (hazard ratio = 0.44, P = 0.18, see Kaplan-Meier figure). Conclusions Hybrid coronary revascularization may be noninferior to OPCAB with respect to early MACCE and 3-year survival in the treatment of multivessel CAD.

Left Internal Mammary Artery Graft Retransplantation from the Recipient to the Donor Heart: A Case Report

2000 ◽  
Vol 10 (1) ◽  
pp. 18-20
Author(s):  
Andras Kollar ◽  
Terri Donaldson ◽  
Elaine Greer ◽  
Renee Howser ◽  
Stacy F. Davis ◽  
...  
Keyword(s):  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Myocardial Revascularization ◽  
Donor Heart ◽  
Artery Graft ◽  
Internal Mammary Artery Graft ◽  
Internal Mammary ◽  
History Of

A case of heart transplantation with concomitant coronary artery bypass graft is reported. The patient was an alternate transplant list candidate with a history of bilateral below-knee amputation and 2 previous myocardial revascularization procedures. The previously used and patent left internal mammary artery graft was successfully removed and retransplanted from the recipient to the donor heart.

scholarly journals Perioperative Avulsion of a Left Internal Mammary Artery Graft in a Patient with Syphilis

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Vasily I. Kaleda ◽  
Sergei A. Belash ◽  
Alexei V. Barsuk ◽  
Kirill O. Barbuhatti
Keyword(s):  
Rare Case ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Massive Bleeding ◽  
Bypass Grafting ◽  
Artery Graft ◽  
Internal Mammary Artery Graft ◽  
Internal Mammary ◽  
Life Threatening

Avulsion of a graft after coronary artery bypass grafting surgery is a rare but very serious complication which leads to massive bleeding and possible life-threatening cardiac tamponade. In this paper we report a very rare case of a left internal mammary artery graft avulsion on the day of surgery in a patient with syphilis.

scholarly journals Hybrid coronary revascularization versus coronary artery bypass surgery with bilateral or single internal mammary artery grafts

2016 ◽  
Vol 151 (4) ◽  
pp. 1081-1089 ◽  
Author(s):  
Joshua M. Rosenblum ◽  
Ralf E. Harskamp ◽  
Niels Hoedemaker ◽  
Patrick Walker ◽  
Henry A. Liberman ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Internal Mammary Artery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Internal Mammary ◽  
Hybrid Coronary Revascularization

Assessment of left internal mammary artery graft patency and flow reserve after minimally invasive direct coronary artery bypass

1999 ◽  
Vol 84 (7) ◽  
pp. 795-801 ◽  
Author(s):  
William E Katz ◽  
Marco Zenati ◽  
William A Mandarino ◽  
Howard A Cohen ◽  
John Gorcsan
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Graft Patency ◽  
Flow Reserve ◽  
Artery Graft ◽  
Internal Mammary Artery Graft ◽  
Internal Mammary

Complete Coronary Revascularization via Left Anterior Thoracotomy

2019 ◽  
Vol 14 (4) ◽  
pp. 330-341 ◽  
Author(s):  
Oleksandr Babliak ◽  
Volodymyr Demianenko ◽  
Yevhenii Melnyk ◽  
Katerina Revenko ◽  
Liliya Pidgayna ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Postoperative Bleeding ◽  
Operation Time ◽  
Internal Mammary ◽  
The Mean

Objective Our aim was to develop the minimally invasive coronary artery bypass grafting (CABG) technique, which is equally effective and safe compared with conventional coronary grafting technique, is reproducible, and can be applied in the vast majority of patients with isolated coronary artery disease. Methods From July 2017 to November 2018 a total of 170 nonselected consecutive patients underwent minimally invasive on-pump multivessel CABG through the left anterior minithoracotomy in the fourth intercostal space using a Chitwood clamp and blood cardioplegia. We named this technique total coronary revascularization via left anterior thoracotomy. The mean number of grafts was 3.1 ± 0.7. Left internal mammary artery was used in 159 (93.5%) patients, right internal mammary artery in 4 (2.4%) patients, radial artery in 25 (14.7%) patients, and veins in 148 (87%) patients. Results We had no mortality, no postoperative myocardial infarcts, and no conversion to sternotomy. There were 2 postoperative strokes without residual neurological deficit and 2 revisions for postoperative bleeding. The total operation time was 258.8 ± 43.9 minutes, cardiopulmonary bypass time 135.8 ± 26.6 minutes, and aortic cross-clamp time 71.2 ± 19.4 minutes. The mean intensive care stay was 2.1 ± 0.56 days and mean total hospital stay 6.3 ± 1.3 days. Conclusions Complete coronary revascularization could be routinely performed using the above-mentioned technique. No patient selection, based on number of grafts, quality and location of coronary vessels, left ventricle function, age, gender, or body mass index, is required.

Effectiveness and Safety of Total Endoscopic Left Internal Mammary Artery Bypass Graft to the Left Anterior Descending Artery

2009 ◽  
Vol 104 (12) ◽  
pp. 1684-1688 ◽  
Author(s):  
Johannes Bonatti ◽  
Thomas Schachner ◽  
Nikolaos Bonaros ◽  
Armin Oehlinger ◽  
Dominik Wiedemann ◽  
...  
Keyword(s):  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Left Anterior Descending Artery ◽  
Internal Mammary
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