Introduction
Hybrid Coronary Revascularization(HCR) with arterial grafts to the left anterior descending artery (LAD) and percutaneous coronary interventions for non-LAD lesions have been shown excellent graft patency rates and long-term results. This approach is a feasible strategy in selected patients with multivessel coronary artery disease1.
Robotically enhanced-minimally invasive direct coronary artery bypass (RE-MIDCAB) is an endoscopic approach with robotic harvesting of the left internal mammary artery(LIMA) followed by hand-sewn anastomosis under direct vision to the LAD on the beating heart (Fig.1A) . Robotically-assisted PCI (R-PCI) is a novel approach in interventional cardiology, where operators perform PCI controlling guidewires and catheter devices remotely (Fig.1B) .