Coronary Artery Bypass Surgery or Interventional Cardiology? Why not both? Let’s go for Hybrid Coronary Revascularization

The options for coronary artery disease have greatly expanded during the course of the last two and half decades with theadvent of hybrid technology in the 1990s. The hybrid option for treating cardiac disease implies using the technology ofboth interventional cardiology and cardiac surgery to offer the patients the best available treatments for coronary arterydisease while minimizing the risks of the surgery, example can be a patient with a partial blockage in one coronary arteryand a complete blockage in another. In this case, a combination revascularization approach might work best to restoreblood flow to the heart muscle. An interventional cardiologist inserts a stent into one coronary artery to open it up, andthen a surgeon grafts a bypass vessel to let blood flow around the other blockage. Hybrid Cardiac Surgery a collaborativeapproach reduces risk of complication, shorten recovery times and improve outcomes This fragmented approach to care isstarting to change to a much-needed innovation in hospital design by set up including all the equipment needed for diagnosticimaging, minimally invasive procedures, and traditional surgery, the key requirement is productive collaboration of heartteam comprising heart surgeons, interventional cardiologists, and other specialists by working together in the same space,at the same time. Although indications and patient selection of these procedures are still to be defined but high-risk patientshave already been shown to benefit from hybrid approaches, In conclusion, HCR is can be used to treat multi-vessel CADwith favourable early results, though growth in the field is limited by surgical experience and success with minimally invasivetechniques, should be performed in high volume centers.