This approach represents a minimally invasive alternative strategy that combines the durability and survival advantage of the LIMA-LAD graft with less invasive PCI to treat non-LAD vessels.
A study from Fuwai Hospital in Beijing, China* comparing this hybrid approach with conventional off-pump coronary artery bypass grafting show that recovery times can be shortened. At a mean followup of 18 months, the freedom from major adverse cardiac or cerebrovascular events is in favor of the hybrid group (99.0% vs 90.4%; p=0.03).
For PCI, the angiography system provides the necessary imaging and advanced visualization tools such as CLEARVessel for enhanced vessel contrast and CLEARStent Live for real-time stent enhancement.
A completion angiography with syngo DynaCT Cardiac provides the opportunity to evaluate the success of the treatment right in the operating room.
* Hu S, Li Q, Gao P, Xiong H, Zheng Z, Li L, Xu B, Gao R. Simultaneous hybrid revascularization versus off-pump coronary artery bypass for multivessel coronary artery disease.
Ann Thorac Surg. 2011; 91(2):432-8