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ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Research Article

Hybrid Coronary Revascularization for Multivessel Coronary Artery Disease: Strategies and Outcomes

Emmanuel Moss1* , John D Puskas1,2 and Michael E Halkos3
1Associate, Cardiothoracic Surgery, Emory University School of Medicine, USA
2Chief of Cardiac Surgery, Emory University Hospital Midtown, USA
3Division of Cardiothoracic Surgery, Emory University School of Medicine, USA
Corresponding Author : Emmanuel Moss
Associate, Cardiothoracic Surgery
201 Dowman Drive. Atlanta
Georgia 30322, USA
Tel: (404)904-6111
E-mail: [email protected]
Received September 11, 2013; Accepted October 05, 2013; Published October 07, 2013
Citation: Moss E, Puskas JD, Halkos ME (2013) Hybrid Coronary Revascularization for Multivessel Coronary Artery Disease: Strategies and Outcomes. J Clin Exp Cardiolog S7:006. doi:10.4172/2155-9880.S7-006
Copyright: © 2013 Moss E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Surgical and percutaneous treatments of coronary artery disease (CAD) have evolved in parallel over the last several decades. Both modalities now offer safe and effective relief from severe CAD, each with unique advantages and disadvantages. Hybrid coronary revascularization (HCR) provides a minimally invasive strategy that exploits the strengths of both traditional coronary artery bypass surgery (CABG) and percutaneous coronary intervention (PCI). HCR entails non-sternotomy left internal mammary artery (LIMA) harvest and grafting to the left anterior descending (LAD) artery, combined with percutaneous coronary intervention (PCI) to non-LAD vessels. The result is a complete revascularization, including the survival benefit of a LIMA-LAD graft, while avoiding the morbidity and convalescence associated with a sternotomy. This review will describe the methods of sternal sparing LIMA-LAD grafting in practice today andexplore the various strategies and current evidence for HCR.

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