Robotic Hybrid Coronary Revascularization - a need for strategy specific
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.