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Thorac Cardiovasc Surg 2000; 48(6): 356-359
DOI: 10.1055/s-2000-8350
Original Cardiovascular
Original Paper
© Georg Thieme Verlag Stuttgart · New York

Follow-Up Experience with Coronary Hybrid-Revascularisation[*]

T. Wittwer1 , A. Haverich2 , J. Cremer3 , P. Boonstra4 , U. Franke1 , T. Wahlers1
  • 1Department of Cardiothoracic and Vascular Surgery, Friedrich Schiller University, Jena, Germany
  • 2Department of Cardiothoracic and Vascular Surgery, Hannover Medical School, Hannover, Germany
  • 3Department of Cardiac and Vascular Surgery, University of Kiel, Germany
  • 4Thorax Center, University Hospital Groningen, Groningen, The Netherlands
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Publication History

Publication Date:
31 December 2000 (online)

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Background: Minimally invasive direct coronary artery bypass (MIDCAB) grafting is an accepted therapeutical option especially in multimorbid, elderly and reoperative patients with single vessel disease. To expand the benefits of MIDCAB to patients with multivessel disease, an interdisciplinary hybrid approach was recently introduced. This study cornprises follow-up information by coronary re-angiography. Methods: 35 patients (29 male, 6 female, mean age 56.7 ± 17 years) underwent a “hybrid” revascularisation using a primary MIDCAB procedure with LIMA bypass to LAD followed by staged angioplasty and stenting of additional coronary lesions. Follow-up was performed in the outpatient department at the time of control angiography. Results: After an uneventful hybrid revascularisation without procedure related complications, all patients were alive and angina-free with normal-stress ECG after 11.4 ± 7.7 months postoperatively. Control angiography (n = 14) revealed a patency rate of 100 % (LIMA bypasses) and 93.3 % (PTCA), respectively. Conclusions: The “hybrid” approach to myocardial revascularisation is safe and effective for complete revascularisation in selected patients with multivessel involvement. Especially elderly and reoperative patients with significant comorbidity may benefit from hybrid procedures avoiding cardiopulmonary bypass and midsternotomy.

Key words:

Hybrid Revascularisation - MIDCAB Grafting

1 Manuscript is presented at the 3rd Joint Meeting of the German, the Austrian and the Swiss Societies for Thoracic and Cardiovascular Surgery, Luzern, February 9 - 12, 2000

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1 Manuscript is presented at the 3rd Joint Meeting of the German, the Austrian and the Swiss Societies for Thoracic and Cardiovascular Surgery, Luzern, February 9 - 12, 2000

M.D. Thorsten Wittwer

Department of Cardiothoracic and Vascular Surgery Friedrich-Schiller University

07740 Jena

Germany

Phone: +49-3641-934801

Fax: +49-3641-934802

Email: Th.Wittwer-MD@t-online.de