Hybrid Coronary Artery Revascularization: Logistics and Program Development
- Resource Type
- Authors
- Johannes Bonatti; O. Pachinger; G. Laufer; Michael Danzmayr; Thomas Schachner; Nikos Bonaros; Patricja Jonetzko; Guy J. Friedrich
- Source
- Scopus-Elsevier
- Subject
- Adult
Hybrid coronary revascularization
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Revascularization
Coronary artery disease
Monitoring, Intraoperative
Humans
Minimally Invasive Surgical Procedures
Medicine
Fluoroscopy
Angioplasty, Balloon, Coronary
Coronary Artery Bypass
Internal Mammary-Coronary Artery Anastomosis
Aged
medicine.diagnostic_test
business.industry
Angiography
Middle Aged
medicine.disease
Cardiac surgery
medicine.anatomical_structure
Surgery
Radiology
Cardiology and Cardiovascular Medicine
business
Artery
- Language
- ISSN
- 1522-6662
1098-3511
Planning hybrid coronary artery revascularization--a combination of cardiac surgery with percutaneous procedures-- requires, at first sight, a very complex logistical setup. Technical and equipment related details should be defined as early as possible in order to have time for training of all OR personnel involved. The most challenging aspect in OR-located hybrid coronary revascularization remains a very close cooperation of cardiac surgeons and interventional cardiologists. This teamwork does include indication findings and subsequent referral of multivessel coronary artery disease patients to hybrid procedures, as well as high individual flexibility of interventionalists and surgeons. The major prerequisite for this cooperation is a mutual acceptance of different revascu-larization approaches and the intent to combine their most striking advantages. Intraoperative graft angiography during coronary artery bypass grafting (CABG) procedures is one important step toward simultaneous hybrid coronary revascu-larization procedures. We describe our experience with on table angiography using a mobile C-arm for intraoperative imaging. This fluoroscopy system can in selected cases be used for simultaneous hybrid procedures.