eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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2/2024
vol. 20
 
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abstract:
Review paper

Need for repeat revascularisation in hybrid coronary revascularisation vs. percutaneous coronary intervention

Łukasz Szymański
1
,
Natalia Gołąbek
2
,
Jakub Piórek
1
,
Witold Gerber
3, 4
,
Piotr P. Buszman
1, 5, 6
,
Krzysztof Sanetra
4, 7

  1. Department of Cardiology, Collegium Medicum, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
  2. Students’ Scientific Group at the Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
  3. Department of Cardiac Surgery, Academy of Silesia, Katowice, Poland
  4. Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biala, Poland
  5. Department of Cardiology, American Heart of Poland, Bielsko-Biała, Poland
  6. Centre for Cardiovascular Research and Development, American Heart of Poland, Katowice, Poland
  7. Division of Cardiovascular Surgery, Collegium Medicum, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
Adv Interv Cardiol 2024; 20, 2 (76): 124–132
DOI: https://doi.org/10.5114/aic.2024.140903
Online publish date: 2024/06/17
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Hybrid coronary revascularisation (HCR), being a treatment path combining both coronary artery bypass grafting and percutaneous coronary intervention (PCI) approaches, offers the advantages of both methods in patients with multi-vessel coronary artery disease. Since available literature provides few studies comparing the need for repeat revascularisation (RR) after HCR in comparison to PCI, our review aimed at summarising the latest data on this topic from the last 5 years (2018–2023). The search was conducted within the PubMed and Embase databases, followed by application of inclusion and exclusion criteria and providing a summary of data and characteristics of eligible studies. On the basis of 7 records included in the final analysis, RR and/or follow-up target vessel revascularisation (TVR) were significantly less frequently required in the case of HCR than in PCI in 3 out of 7 records, whereas the remaining four provided no significant differences in analysed rates between the 2 therapeutic pathways. When it comes to lowering the necessity for follow-up TVR and/or RR in a fraction of instances, HCR demonstrates a significant advantage over PCI. The complexity of outcomes associated with these therapies is emphasised by the fact that no statistically significant differences were observed between the 2 methods in the remaining 4 records.
keywords:

percutaneous coronary intervention, repeat revascularisation, hybrid coronary revascularisation
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