Journal article
Hybrid Coronary Revascularization Versus Conventional Coronary Artery Bypass Surgery Utilization and Comparative Outcomes
Circulation. Cardiovascular interventions, v 13(10), pp e009386-e009386
01 Oct 2020
PMID: 33040581
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background:
Hybrid coronary revascularization (HCR) treats multivessel coronary artery disease by combining a minimally invasive surgical approach to the left anterior descending artery with percutaneous coronary intervention for non-left anterior descending diseased coronary arteries. The objective of this study is to compare HCR and conventional coronary artery bypass graft (CABG) surgery medium-term outcomes.
Methods:
Data from multivessel disease patients in New York's cardiac surgery and percutaneous coronary intervention registries in 2010 to 2016 were used to compare mortality and repeat revascularization rates for HCR and conventional CABG after using propensity matching to reduce selection bias.
Results:
There was a total of 303 HCR (0.80%) patients and 37 556 conventional CABG patients after exclusions. After propensity matching, the respective median follow-up times were 3.72 years and 3.76 years. There was no difference between HCR and conventional CABG in survival at 6 years (80.9% versus 85.8%%, adjusted hazard ratio, 1.44 [0.90-2.31]), but HCR had higher mortality excluding deaths during the first year (adjusted hazard ratio, 1.88 [1.10-3.23]). Conventional CABG patients were more likely to be free from repeat revascularization at 6 years than HCR patients (88.2% versus 76.6%; hazard ratio, 2.22 [1.44-3.42]).
Conclusions:
HCR is rarely performed for patients with multivessel coronary artery disease. HCR and conventional CABG had no different 6-year mortality rates, but HCR had higher mortality after 1 year and higher rates of subsequent revascularization that were caused by both the need for repeat revascularization in the left anterior descending artery where minimally invasive CABG was performed, and in the coronary arteries where percutaneous coronary intervention was performed.
Metrics
Details
- Title
- Hybrid Coronary Revascularization Versus Conventional Coronary Artery Bypass Surgery Utilization and Comparative Outcomes
- Creators
- Edward L. Hannan - School of Public Health, University at Albany, State University of New York, NY (E.L.H., Y.W., K.C.).Yifeng Wu - School of Public Health, University at Albany, State University of New York, NY (E.L.H., Y.W., K.C.).Kimberly Cozzens - School of Public Health, University at Albany, State University of New York, NY (E.L.H., Y.W., K.C.).Thoralf M. Sundt - Massachusetts General HospitalLeonard Girardi - Cornell UniversityJoanna Chikwe - Cedars-Sinai Medical CenterAndrew Wechsler - Drexel UniversityCraig R. Smith - Presbyterian Medical CenterJeffrey P. Gold - University of Nebraska Medical CenterStephen J. Lahey - University of ConnecticutDesmond Jordan - Presbyterian Medical Center
- Publication Details
- Circulation. Cardiovascular interventions, v 13(10), pp e009386-e009386
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000581772300008
- Scopus ID
- 2-s2.0-85093982989
- Other Identifier
- 991019168020004721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems