Hybrid Coronary Revascularization Versus Off-Pump Coronary Artery Bypass for the Treatment of Left Main Coronary Stenosis Michael E. Halkos, MD, S. Tanveer.

Slides:

Advertisements

Similar presentations

Peter K. Smith, MD, Robert M. Califf, MD, Robert H

Advertisements

Robert A. Guyton, MD The Annals of Thoracic Surgery

Michael E. Halkos, MD, MS, Patrick F. Walker, BS, Thomas A

Elevated Preoperative Hemoglobin A1c Level is Associated With Reduced Long-Term Survival After Coronary Artery Bypass Surgery Michael E. Halkos, MD,

High Risk of Prosthetic Valve Endocarditis and Death After Valve Replacement Operations in Dialysis Patients Danielle K. Farrington, MD, Patrick D. Kilgo,

Robert A. Guyton, MD The Annals of Thoracic Surgery

Long-Term Outcomes After Isolated Aortic Valve Replacement in Octogenarians: A Modern Perspective Vinod H. Thourani, MD, Richard Myung, MD, Patrick Kilgo,

Jeevan Nagendran, MD, Colleen M. Norris, PhD, Michelle M

Standardizing definitions for hybrid coronary revascularization

Christof Schmid, MD, Tonny D

Revascularization of Left Anterior Descending Artery With Drug-Eluting Stents: Comparison With Off-Pump Surgery Itzhak Herz, MD, Yaron Moshkovitz, MD,

Left Subclavian Artery Stenosis in Coronary Artery Bypass: Prevalence and Revascularization Strategies Ho Young Hwang, MD, Jin Hyun Kim, MD, Whal Lee,

Unprotected Left Main Coronary Artery Stenting Versus Coronary Artery Bypass Graft Surgery Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Norikazu Kawai,

Peter K. Smith, MD The Annals of Thoracic Surgery

J. Trevor Posenau, MD, Daniel M. Wojdyla, MS, Linda K

Impact of Preoperative Renal Dysfunction on Long-Term Survival for Patients Undergoing Aortic Valve Replacement Vinod H. Thourani, MD, W. Brent Keeling,

Michael E. Halkos, MD, Patrick Kilgo, MS, Omar M

The Impact of Specific Preoperative Organ Dysfunction in Patients Undergoing Aortic Valve Replacement Vinod H. Thourani, MD, Ritam Chowdhury, MD, Rebecca.

Coronary Bypass Grafting to a “Full-Metal Jacket” Left Anterior Descending Artery María J. Mataró, MD, Gemma Sánchez-Espín, MD, Carlos Porras, MD, José.

Ralf E. Harskamp, MD, Zhe Zheng, MD, PhD, John H

Elevated Preoperative Hemoglobin A1c Level is Associated With Reduced Long-Term Survival After Coronary Artery Bypass Surgery Michael E. Halkos, MD,

Muhammad S. Khan, MD, Matthew R

The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report John S. Ikonomidis, MD, PhD The Annals of Thoracic.

Michael D. Fridman, MD, Carl Y. Owada, MD, FACC, Richard D

Patrick H McNulty, MD, Ian C Gilchrist, MD

Long-Term Survival of Patients With Ischemic Cardiomyopathy Treated by Coronary Artery Bypass Grafting Versus Medical Therapy Eric J. Velazquez, MD,

Incidence of Postoperative Stroke Using the Heartstring Device in 1,380 Coronary Artery Bypass Graft Patients With Mild to Severe Atherosclerosis of the.

Off-Pump Coronary Artery Bypass Surgery Versus Percutaneous Coronary Intervention: A Meta-Analysis of Randomized and Nonrandomized Studies J. James Edelman,

Long-Term Mortality of Coronary Artery Bypass Graft Surgery and Stenting With Drug- Eluting Stents Chuntao Wu, MD, PhD, Fabian T. Camacho, MS, Songyang.

Emergency Coronary Artery Bypass Grafting Can Be Performed Safely Without Cardiopulmonary Bypass in Selected Patients Faraz Kerendi, MD, John D. Puskas,

Transcatheter Aortic Valve Replacement Has Improved Short-Term but Similar Midterm Outcomes in Isolated Aortic Valve Replacement After Prior Coronary.

Michael E. Halkos, MD, MSc, Henry A

Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future William F. Turner, MD, John H. Sloan,

Surgical Resection of a Giant Coronary Aneurysm

Intraoperative Radiofrequency Ablation for the Treatment of Atrial Fibrillation During Concomitant Cardiac Surgery Michael E. Halkos, MD, Joseph M. Craver,

Performing Coronary Artery Bypass Grafting Off-Pump May Compromise Long-Term Survival in a Veteran Population Faisal G. Bakaeen, MD, Danny Chu, MD, Rosemary.

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy

Do the EXCEL and NOBLE Trial Results Change Meta-Analysis Findings?

Coronary Artery Fistulae Involving Both Right and Left Coronary Arteries Ahmet Bolukcu, MD, Ahmet Can Topcu, MD, Yavuz Sensoz, MD, Ilyas Kayacioglu, MD

Complete Revascularization of the Three-Vessel Territories Using a Left Internal Thoracic Artery Composite Graft Ho Young Hwang, MD, PhD, Hong Chul Oh,

Aortic Valve Bypass for the High-Risk Patient With Aortic Stenosis

Application of cabrol technique to off-pump coronary artery bypass grafting using radial artery Won-Min Jo, MD, Chan-Young Na, MD, PhD, Man-Jong Baek,

Peter K. Smith, MD, Robert M. Califf, MD, Robert H

Clinical outcomes, angiographic patency, and resource utilization in 200 consecutive off- pump coronary bypass patients John D Puskas, MD, Vinod H Thourani,

Hybrid Coronary Revascularization by Endoscopic Robotic Coronary Artery Bypass Grafting on Beating Heart and Stent Placement Changqing Gao, MD, Ming.

Current Clinical Outcomes of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting Michael J. Mack, MD, Syma L. Prince, RN, Morley Herbert,

Stent Versus Off-Pump Coronary Bypass Grafting in the Second-Generation Drug- Eluting Stent Era Gijong Yi, MD, PhD, Hyun-Chel Joo, MD, Young-Nam Youn,

Early and Midterm Results of Off-Pump Coronary Artery Bypass Grafting

Robotic Total Arterial Off-Pump Coronary Artery Bypass Grafting: Seven-Year Single- Center Experience and Long-Term Follow-Up of Graft Patency Ming Yang,

Conversion From Off-Pump Coronary Artery Bypass Grafting to On-Pump Coronary Artery Bypass Grafting Brent Keeling, MD, Vinod Thourani, MD, Gorav Aliawadi,

Off-Pump Coronary Artery Bypass Disproportionately Benefits High-Risk Patients John D. Puskas, MD, Vinod H. Thourani, MD, Patrick Kilgo, MS, William Cooper,

Limitations of Hospital Volume as a Measure of Quality of Care for Coronary Artery Bypass Graft Surgery Karl F. Welke, MD, Mitchell J. Barnett, PharmD,

Invited Commentary The Annals of Thoracic Surgery

Lethal Postoperative Coronary Artery Spasm

Wael Hassanein, MD, Alexander A

On-Pump Versus Off-Pump Surgical Revascularization for Left Main Stem Stenosis: Risk Adjusted Outcomes John C.Y. Lu, Antony D. Grayson, BS, D. Mark Pullan

Improved Long-Term Survival for Diabetic Patients With Surgical Versus Interventional Revascularization Paul Kurlansky, MD, Morley Herbert, PhD, Syma.

Sérgio A de Oliveira, MD The Annals of Thoracic Surgery

Off-Pump and On-Pump Coronary Artery Bypass Grafting Are Associated With Similar Graft Patency, Myocardial Ischemia, and Freedom From Reintervention:

Sequential In Situ Left Internal Thoracic Artery Grafting to the Circumflex and Right Coronary Artery Areas Cihat Bakay, MD, Burak Onan, MD, Aşkin Ali.

Catheter-Based Endoscopic Bypass Grafting: An Experimental Feasibility Study Stephan Jacobs, MD, David Holzhey, MD, Hubert Stein, BS, BME, Friedrich W.

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Robotic Totally Endoscopic Coronary Artery Bypass and Catheter Based Coronary Intervention in One Operative Session Johannes Bonatti, MD, Thomas Schachner,

Utilization and Outcomes of Unprotected Left Main Coronary Artery Stenting and Coronary Artery Bypass Graft Surgery Chuntao Wu, MD, PhD, Edward L. Hannan,

Influence of On-Pump Versus Off-Pump Techniques and Completeness of Revascularization on Long-Term Survival After Coronary Artery Bypass Omar M. Lattouf,

Results of the Prospective Multicenter Trial of Robotically Assisted Totally Endoscopic Coronary Artery Bypass Grafting Michael Argenziano, MD, Marc.

Off-Pump, In Situ Internal Thoracic Artery Grafting: A Durable Treatment for Single- Vessel Coronary Artery Disease Kerem M. Vural, MD, Zafer H. Iscan,

Intraoperative Coronary Artery Dissection in Fibromuscular Dysplasia

Presentation transcript:

Hybrid Coronary Revascularization Versus Off-Pump Coronary Artery Bypass for the Treatment of Left Main Coronary Stenosis Michael E. Halkos, MD, S. Tanveer Rab, MD, Thomas A. Vassiliades, MD, MBA, Douglas C. Morris, MD, John S. Douglas, MD, Patrick D. Kilgo, MS, Henry A. Liberman, MD, Robert A. Guyton, MD, Vinod H. Thourani, MD, John D. Puskas, MD The Annals of Thoracic Surgery Volume 92, Issue 6, Pages 2155-2160 (December 2011) DOI: 10.1016/j.athoracsur.2011.08.012 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Cardiac catheterization showing significant left main and left anterior descending coronary artery stenosis. The Annals of Thoracic Surgery 2011 92, 2155-2160DOI: (10.1016/j.athoracsur.2011.08.012) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Before percutaneous coronary intervention, catheterization confirms patent left anterior descending coronary artery to left anterior descending coronary artery anastomosis. The Annals of Thoracic Surgery 2011 92, 2155-2160DOI: (10.1016/j.athoracsur.2011.08.012) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Percutaneous transluminal coronary angioplasty with deployment of drug-eluting stent from the left main into the circumflex coronary artery. The Annals of Thoracic Surgery 2011 92, 2155-2160DOI: (10.1016/j.athoracsur.2011.08.012) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Postprocedure angiogram confirms successful stent deployment. The Annals of Thoracic Surgery 2011 92, 2155-2160DOI: (10.1016/j.athoracsur.2011.08.012) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Estimated 5-year survival was similar after off-pump coronary artery bypass grafting (OPCAB; 83.4%) versus hybrid coronary revascularization (HYBRID; 88.6%; p = 0.55). The Annals of Thoracic Surgery 2011 92, 2155-2160DOI: (10.1016/j.athoracsur.2011.08.012) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions