Coronary Artery Bypass Surgery or Interventional Cardiology: Why not both? Lets go for Hybrid Coronary Revascularization
Abstract
Khalida Soomro
The options for coronary artery disease have greatly expanded during the course of the last two and half decades with the advent of hybrid technology in the 1990s. The hybrid option for treating cardiac disease implies using the technology of both interventional cardiology and cardiac surgery to offer the patients the best available treatments for coronary artery disease while minimizing the risks of the surgery, example can be a patient with a partial blockage in one coronary artery and a complete blockage in another. In this case, a combination revascularization approach might work best to restore blood flow to the heart muscle. An interventional cardiologist inserts a stent into one coronary artery to open it up, and then a surgeon grafts a bypass vessel to let blood flow around the other blockage. Hybrid Cardiac Surgery a collaborative approach reduces risk of complication, shorten recovery times and improve outcomes This fragmented approach to care is starting to change to a much-needed innovation in hospital design by set up including all the equipment needed for diagnostic imaging, minimally invasive procedures, and traditional surgery, the key requirement is productive collaboration of heart team 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 patients have already been shown to benefit from hybrid approaches, In conclusion, HCR is can be used to treat multi-vessel CAD with favourable early results, though growth in the field is limited by surgical experience and success with minimally invasive techniques, should be performed in high volume centers.