Coronary artery bypass surgery hybrid coronary revascularization



==ACCF/AHA Guidelines for Hybrid Coronary Revascularization == {{cquote|

Class IIa
1. Hybrid coronary revascularization (defined as the planned combination of LIMA-to-LAD artery grafting and PCI of ≥1 non-LAD coronary arteries) is reasonable in patients with 1 or more of the following        (Level of Evidence: B):


 * Limitations to traditional CABG, such as heavily calcified proximal aorta or poor target vessels for CABG (but amenable to PCI);


 * Lack of suitable graft conduits;


 * Unfavorable LAD artery for PCI (ie, excessive vessel tortuosity or chronic total occlusion).

Class IIb
1. Hybrid coronary revascularization (defined as the planned combination of LIMA-to-LAD artery grafting and PCI of ≥1 non-LAD coronary arteries) may be reasonable as an alternative to multivessel PCI or CABG in an attempt to improve the overall risk–benefit ratio of the procedures. (Level of Evidence: C)}}

Guidelines Resources

 * 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines