Hybrid coronary revascularization is an emerging approach that aims to combine the long-term benefits of bypass surgery with the lower periprocedural complications of percutaneous coronary intervention.
Hybrid coronary revascularization offers a potential middle ground for select patients; leaves open the need for randomized trials versus CABG or PCI.
Two main approaches to myocardial revascularization currently exist, coronary artery bypass and percutaneous coronary intervention. In patients with advanced coronary artery disease, coronary artery bypass surgery is associated with improved long term outcomes while percutaneous coronary intervention is associated with lower periprocedural complications. A new approach has emerged in the last decade that attempts to reap the benefits of bypass surgery and stenting while minimizing the shortcomings of each approach. This new approach, hybrid coronary revascularization, has shown encouraging early results. Minimally invasive techniques for bypass surgery have played a large part of bringing this approach into contemporary practice.
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Kayatta et al. (2016) studied this question.
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