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Robotic Hybrid Coronary Revascularization - a need for strategy specific data.
  • Pradeep Narayan,
  • Gianni Angelini
Pradeep Narayan
Rabindranath Tagore International Institute of Cardiac Sciences
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Gianni Angelini
Bristol University
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Abstract

Robotic totally endoscopic techniques to perform the LITA to LAD graft, coupled with PCI, provides the least invasive option to achieve hybrid coronary revascularization (HCR). Shorter hospital stay and reduced need for blood transfusions have been consistently being reported by several studies along with similar long-term outcomes. Considerable variations exist in the definition of HCR which can be single or two-staged with surgical revascularization being carried out after PCI or vice versa. Variations also exist with respect to usage of cardiopulmonary bypass, surgical incisions, and use of minimally invasive robotic techniques. The different strategies of HCR do not lead to similar outcomes and the findings of one strategy cannot be extrapolated to the entire group. Studies reporting different strategies of HCR, should ideally provide more granular data when reporting outcomes.

Peer review status:Published

11 Nov 2021Submitted to Journal of Cardiac Surgery
12 Nov 2021Assigned to Editor
12 Nov 2021Submission Checks Completed
12 Nov 2021Editorial Decision: Accept
22 Nov 2021Published in Journal of Cardiac Surgery. 10.1111/jocs.16150