Table 1.
Recommendations for Suitable Candidates for Hybrid Coronary Revascularization Versus Conventional Coronary Revascularization
Characteristic | PCI | HCR | CABG |
---|---|---|---|
Angiographic characteristics | |||
ULMD | - | + | + |
Intramyocardial LAD | + | - | - |
Complex LAD lesion [53, 54, 55] | - | + | + |
Complex non-LAD lesion [53, 54] | - | - | + |
Comorbidities | |||
Advanced age | + | + | - |
Frailty [53, 54] | + | + | - |
LVEF <30% | - | + | + |
Diabetes mellitus | - | + | + |
Renal insufficiency | - | + | + |
Severe chronic lung disease | + | - | - |
Prior left thoracotomy | + | - | + |
Prior sternotomy [55] | + | + | - |
Limited vascular access | - | - | + |
Lack of available conduits [53, 54] | + | + | - |
Severe aortic calcification [53, 54] | + | + | - |
Contraindication for DAPT | - | - | + |
+ = recommended; - = not recommended.
CABG = coronary artery bypass graft; DAPT = dual antiplatelet therapy; HCR = hybrid coronary revascularization; LAD = left anterior descending artery; LVEF = left ventricular ejection fraction; PCI = percutaneous coronary intervention; ULMD = unprotected left main disease.