Clinical Study

Randomized Clinical Trial of Surgical vs. Percutaneous vs. Hybrid Revascularization in Multivessel Coronary Artery Disease: Residual Myocardial Ischemia and Clinical Outcomes at One Year—Hybrid coronary REvascularization Versus Stenting or Surgery (HREVS)

Table 1

Baseline and procedural characteristics according to randomization arm.

CharacteristicCABG (n = 50)HCR (n = 52)PCI (n = 53)

Age (years)61.3 ± 6.862.0 ± 7.461.7 ± 7.70.80
Male sex70.0% (35)75.0% (39)69.8% (37)0.90
Current smoking50.0% (25)46.1% (24)47.2% (25)0.92
Arterial hypertension66.0% (33)65.4% (34)67.9% (36)0.96
Diabetes mellitus22.0% (11)17.3% (9)20.7% (11)0.83
Chronic kidney disease0% (0)1.9% (1)5.7% (3)0.32
COPD/BA4.0% (2)7.7% (4)11.3% (6)0.43
Previous MI56.0% (28)51.9% (27)58.5% (31)0.79
Prior stroke6% (3)7.7% (4)5.7% (3)0.92
Peripheral vascular disease24.0% (12)30.8% (16)30.2% (16)0.70
LVEF (%)§54.0 ± 7.456.2 ± 6.353.3 ± 9.90.159
LVEF≤45%12% (6)5.8% (3)20.8% (11)0.070
EuroSCORE IIǁ1.70 ± 0.761.71 ± 0.721.70 ± 0.791.0
Affected vessels:
 242.0% (21)51.9% (27)56.6% (30)
 ≥358.0% (29)48.1% (25)43.4% (23)0.32
Affected vessels (mean)2.7 ± 0.62.5 ± 0.62.5 ± 0.6
No. of index lesions
 242.0% (21)36.5% (19)50.9% (27)
 344.0% (22)42.3% (22)30.2% (16)
 >314.0% (7)21.2% (11)18.9% (10)0.35
No. of index lesions (mean)2.7 ± 0.72.9 ± 0.82.7 ± 0.9
SYNTAX score19.3 ± 3.019.4 ± 3.019.5 ± 2.70.91
No. of grafts
10% (0)90.4% (47)
246.0% (23)5.8% (3)
≥354.0% (27)3.8% (2)NA
Arterial grafts37.8% (50)77.6% (52)NA
Venous grafts62.2% (82)22.4% (15)NA
No. of grafts (mean)
No. of stents
02.6 ± 0.71.1 ± 0.4
19.6% (5)0
248.1% (25)0
3 or more32.7% (17)51.9% (27)NA
No. of stents (mean)9.6% (5)49.1% (26)
1.5 ± 0.92.7 ± 0.9
Incomplete TLR (per patient)8.0% (4)7.7% (4)5.7% (3)0.86
Incomplete TLR (per total number target lesions in study group)3.7% (5/136)2.7% (4/149)2.1% (3/146)0.71

Values are means ± SD or percentages (counts). Data are shown as per randomization (intention-to-treat population). CABG: coronary-artery bypass grafting; HCR: hybrid coronary revascularization; PCI: percutaneous coronary intervention. COPD/BA: chronic obstructive pulmonary disease/bronchial asthma. MI: myocardial infarction. §LVEF: left ventricular ejection fraction. ǁEuroSCORE II: The European System for Cardiac Operative Risk Evaluation (EuroSCORE); a clinical model for calculating the risk of death after cardiac surgery. SYNTAX score: Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) score; an angiographic model for evaluating coronary artery disease extensiveness. TLR, target lesion revascularization, given per total number of lesions to be revascularized according to Heart Team recommendation.