Short- and intermediate-term outcomes of hybrid coronary revascularization for double- vessel disease Nirav C. Patel, MD, Jonathan M. Hemli, MD, Michael.

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Presentation transcript:

Short- and intermediate-term outcomes of hybrid coronary revascularization for double- vessel disease Nirav C. Patel, MD, Jonathan M. Hemli, MD, Michael C. Kim, MD, Karthik Seetharam, MD, Luigi Pirelli, MD, Derek R. Brinster, MD, S. Jacob Scheinerman, MD, Varinder P. Singh, MD The Journal of Thoracic and Cardiovascular Surgery Volume 156, Issue 5, Pages 1799-1807.e3 (November 2018) DOI: 10.1016/j.jtcvs.2018.04.078 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow chart of patient selection. SVD, Single-vessel disease; DVD, double-vessel disease; TVD, triple-vessel disease; CABG, coronary artery bypass grafting; HCR, hybrid coronary revascularization. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan–Meier survival estimates with number of subjects at risk and 95% Hall-Wellner Bands. A, HCR versus CABG (all patients). B, LAD/circumflex versus LAD/RCA disease (all patients). C, HCR versus CABG (LAD/circumflex disease). D, HCR versus CABG (LAD/RCA disease). HCR, Hybrid coronary revascularization; CABG, Coronary artery bypass grafting; LAD, left anterior descending; LCx, (left) circumflex; RCA, right coronary artery. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Distribution of propensity scores of patients who received HCR (“treated”) and patients who received CABG (“control”) before and after matching with overlaid kernel density estimate. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Line-plot of standardized differences before and after matching. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Histograms with overlaid kernel density estimates of standardized differences before and after matching. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E4 Box plot distribution of HCR-CABG propensity scores before (top) and after (bottom) matching. HCR, Hybrid coronary revascularization; CABG, coronary artery bypass grafting. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Survival estimates for matched patients who received HCR or CABG for 2-vessel disease. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Illustrative case of HCR in a patient with double-vessel disease, incorporating robotic-assisted LITA-LAD MIDCAB, followed by interval PCI to the left circumflex. HCR, Hybrid coronary revascularization; LAD, left anterior descending coronary artery; LITA, left internal thoracic artery; MIDCAB, minimally invasive direct coronary artery bypass; PCI, percutaneous coronary intervention. Video available at: https://www.jtcvs.org/article/S0022-5223(18)31216-9/fulltext. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1799-1807.e3DOI: (10.1016/j.jtcvs.2018.04.078) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions