Objective
Comparative study of same-sitting, robotic hybrid coronary revascularization (HCR) vs. standard sternotomy, off-pump coronary artery bypass grafting (OPCAB) in patients with multivessel coronary artery disease (MVCAD). HCR is a relatively novel procedure introduced as an alternative to traditional CABG incorporating surgical and percutaneous coronary intervention (PCI) in patients with MVCAD. Although there is some data on staged HCR, the data on same-sitting robotic HCR is meager.
Methods
We conducted a single-center, prospective analysis comparing same-sitting HCR patients ( n =10) to a group of consecutive, OPCAB patients ( n =23) by a single surgeon during a similar time period. HCR patients underwent robotic-assisted, left internal mammary artery (LIMA) to left anterior descending artery (LAD) (±diagonal) off-pump bypass via mini-anterior thoracotomy. After confirmation of LIMA patency by angiogram, HCR patients underwent immediate PCI utilizing either bare metal or drug-eluting stents. Aspirin was administered preoperatively and clopidogrel was administered immediately following PCI in all HCR patients.
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