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.