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Hybrid Revascularization Strategy
Author(s) -
Giedrius Davidavičius,
Frank Van Praet,
Samer Mansour,
Filip Casselman,
Jozef Bartúnek,
Ivan Degrieck,
Francis Wellens,
Raf De Geest,
Hugo Vanermen,
William Wijns,
Bernard De Bruyne
Publication year - 2005
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.104.524264
Subject(s) - medicine , conventional pci , fractional flow reserve , revascularization , cardiology , percutaneous coronary intervention , circumflex , anastomosis , coronary artery disease , artery , surgery , radiology , coronary angiography , myocardial infarction
Robotically enhanced minimally invasive direct coronary artery bypass (RE-MIDCAB) graft of the left internal mammary artery to the left anterior descending coronary artery (LAD) and/or the first diagonal branch might be the least traumatic surgical revascularization approach available so far. When combined with fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) in the non-LAD vessels, this "hybrid" strategy takes advantage of the survival benefit conferred by the internal mammary artery graft to the LAD while providing the patients with a truly minimally invasive, functionally complete revascularization.

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