Robotic off-pump hybrid coronary revascularization - a niche area in
need for objective data.
Hybrid coronary revascularization (HCR) consists of left internal
thoracic artery (LITA) graft to the left anterior descending (LAD)
artery and transcatheter revascularization of the non-LAD stenosis in
specific settings to achieve complete coronary revascularization.
Technique to perform the LITA to LAD graft has ranged from median
sternotomy with cardiopulmonary bypass to robotically assisted totally
endoscopic coronary bypass surgery using beating heart