Hybrid Revascularization — Is This the Future?

A case series shows promising results, but it’s too soon to commit to a marriage of catheterization laboratory and surgical suite.

Early graft failure after coronary artery bypass grafting often results from technical errors. At the Vanderbilt Heart and Vascular Institute, a surgical and angiographic hybrid suite allows completion coronary angiography to be performed routinely after CABG. In this study, investigators report their results in 366 consecutive patients, 112 of whom underwent one-stop concomitant CABG and percutaneous coronary intervention (hybrid procedure).

Completion angiography after surgical revascularization revealed 97 defects in 796 grafts, including conduit defects in 7%, anastomotic defects in 4%, and target vessel errors in 2%. Correction of defects was achieved by minor adjustment without additional cardiopulmonary bypass in 3% of grafts, but req…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI