Hybrid Coronary Revascularization Vs Traditional Coronary Artery Bypass Graft: A Better Revascularization Modality
Abstract
Sumera Nasim, Khalid Galal, Waleed Shaker
Background: Hybrid coronary revascularization (HCR) represents a minimally invasive revascularization strategy in which the durability of the internal mammary artery to left anterior descending combined with percutaneous coronary intervention with drug eluting stents(DES)to treat remaining lesions in different coronary arteries.
Objective: To compare the complication like bleeding, nephropathy and hospital stay MACCE defined as death, stroke, myocardial infarction (MI), stroke, and repeat revascularization in hospital and one year follow up.
Methods: It was correctional study done UAE in 2018- 2019 patient with multi vessel disease who consented with insurance approval were included and decision for which patient went HCR or CABG arm by heart team, patient underwent HCR we used stage manner first LIMA – LAD followed by multi vessel PCI after 24 hrs. And patient were discharged on day 5 of admission
Results: 15 patients underwent hybrid revascularization bleeding rate was high with OR OF 1.0 with 95% C.I of 0.8-1.3 with p value of 0.03, risk of Nephropathy was higher in HCR group with odd ration 1.2 (0.6-1.5) with p value of 0.04 the mean length was 5 vs 7 Days One stroke in CABG group and MACE was HCR with ODD ratio of 1.2 (95% CI 0.8-1.5 with p value of 0.04 observed till one year no in hospital death one year follow up. Three patients died of MACE in CABG and one patient in HCR group