Review Article

Hybrid Coronary Revascularization as a Safe, Feasible, and Viable Alternative to Conventional Coronary Artery Bypass Grafting: What Is the Current Evidence?

Table 1

Overview of 18 series describing hybrid coronary revascularization.

AuthorDate Age (years)Followup (months)StrategySurgical procedurePCI

Zenati et al. [17]19993169 (46–86)10.8 ± 3.8StagedOpen MIDCABPTCA/BMS
Lloyd et al. [18]19991863.2 (35–87)6 (5–8)Simultaneous (4) and staged (14)Open MIDCABPTCA/BMS
Wittwer et al. [19]20003556.7 ± 1711.4 ± 7.7StagedOpen MIDCABPTCA/BMS
de Cannière et al. [12]20012062 ± 924.0StagedOpen MIDCABPTCA/BMS
Riess et al. [20]20025765.7 ± 7.923.2 ± 8.7StagedInversed L-shaped ministernotomyPTCA/BMS
Stahl et al. [21]20025462.4 (36–86)11.6 (1–23)StagedRobotic endo-ACABPTCA/BMS
Cisowski et al. [22] 20025054.8 ± 20.13–32StagedThoracoscopic endo-ACABPTCA/BMS
Davidavicius et al. [11]20052065 ± 919 ± 10StagedRobotic endo-ACABBMS/DES
Katz et al. [13]20062759.8 ± 8.93.0Simultaneous (4) and staged (23)Arrested-heart TECABBMS/DES
Us et al. [23]20061763.1 ± 20.921.3 ± 6.5StagedReversed J-shaped inferior ministernotomyPTCA/BMS
Gilard et al. [6]20077068.5 ± 1033 (2–70)StagedOn-pump (64) or off-pump (6) CABGStent to RCA
Kon et al. [7]20081561 ± 1012.0SimultaneousOpen MIDCABDES
Kiaii et al. [14] 20085859.9 ± 11.720.2 (1.1–40.8)SimultaneousRobotic endo-ACABBMS/DES
Holzhey et al. [24] 200811764.6 ± 12.021.3Simultaneous (5) and staged (112)Open MIDCAB (107); beating-heart TECAB (8); arrested-heart TECAB (8)DES/BMS
Zhao et al. [25]200911263 (32–85)
(median)
NRSimultaneousOn-pump (90) or off-pump (22) CABGDES/BMS
Delhaye et al. [26]20101862 (55–77) (median)12.0StagedOn-pump (13) or off-pump (5) CABGDES
Halkos et al. [27]201114764.3 ± 12.838.4
(median)
Mainly stagedThoracoscopic endo-ACAB and robotic endo-ACABDES
Hu et al. [28]201110461.8 ± 10.218 ± 7.9SimultaneousReversed J-shaped inferior ministernotomyPTCA/BMS/DES

Unless otherwise indicated, data are expressed as mean ± standard deviation. : number; PCI: percutaneous coronary intervention; MIDCAB: minimally invasive direct coronary artery bypass; PTCA: percutaneous transluminal coronary angioplasty; BMS: bare metal stent; endo-ACAB: endoscopic atraumatic coronary artery bypass; DES: drug-eluting stent; TECAB: totally endoscopic coronary artery bypass; NR: not reported; CABG: coronary artery bypass grafting; RCA: right coronary artery.