Generalized hybrid coronary revascularization vs. conventional off-pump coronary artery bypass grafting for multivessel coronary artery disease.

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Tác giả: Guang Li, Ping Li, Ji Lin, Shuo Liu, Zheng Qu, Tao Sun, Yunfeng Yan, Bin You, Chenhao Zhang, Shuai Zhang

Ngôn ngữ: eng

Ký hiệu phân loại: 623.45193 Ordnance

Thông tin xuất bản: Switzerland : Frontiers in cardiovascular medicine , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 683254

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BACKGROUND: Hybrid coronary revascularization (HCR) has been demonstrated as a safe and effective revascularization strategy in selected patients with multivessel coronary artery disease
however, the inclusion criteria are too strict. OBJECTIVES: This study was conducted to compare in-hospital and midterm outcomes after generalized HCR and off-pump coronary artery bypass (OPCABG) in patients with multivessel coronary artery disease. METHODS: We proposed a generalized idea of HCR. First, the PCI for non-LAD vessels suitable for coronary stents was performed. Then, MICS-CABG for LIMA to the LAD and saphenous to other non-LAD vessels that were not suitable for stents or stenting failed. Propensity score matching was used, and 222 patients ( RESULTS: No signiﬁcant difference was observed in the cumulative rate of MACCE (9.9% vs. 16.2%
HR, 0.567
95% CL, 0.268-1.201
CONCLUSIONS: The generalized HCR procedure appears to be safe and efﬁcacious, with outcomes similar to those of standard off-pump CABG and satisfactory completeness of revascularization.

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