Hybrid revascularization using percutaneous coronary intervention and robotically assisted minimally invasive direct coronary artery bypass surgery

Michael S. Lee, James R. Wilentz, Raj R. Makkar, Varinder Singh, Tom Nero, Daniel Swistel, Scott J. Belsey, Claude Simon, Salvatore Rametta, Joseph DeRose

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Hybrid revascularization (HR) combines staged percutaneous coronary intervention (PCI) on stenoses in the non-left anterior descending (LAD) territories with minimally invasive direct coronary artery bypass (MIDCAB) using the left internal thoracic artery (LITA) to the LAD. The LITA-to-LAD graft, which has a 5-year patency rate of 95%, is the major determinant of the long-term survival for patients. Thus, HR aims to perform full revascularization without compromising the survival advantage of the LITA-to-LAD graft, while preserving the minimally invasive advantages associated with the percutaneous treatment of symptomatic coronary stenoses. We investigated whether HR was a valid alternative to conventional coronary artery bypass graft surgery in patients with multivessel coronary artery disease. We also present our early experiences with HR using a combined approach of advanced PCI and robotically-assisted MIDCAB.

Original languageEnglish (US)
Pages (from-to)419-425
Number of pages7
JournalJournal of Invasive Cardiology
Volume16
Issue number8
Publication statusPublished - Aug 1 2004
Externally publishedYes

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Keywords

  • CABG versus PCI
  • New devices

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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