Document Detail


Hybrid coronary artery revascularization: logistics and program development.
MedLine Citation:
PMID:  16112939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Planning hybrid coronary artery revascularization--a combination of cardiac surgery with percutaneous procedures--requires, at first sight, a very complex logistical setup. Technical and equipment related details should be defined as early as possible in order to have time for training of all OR personnel involved. The most challenging aspect in OR-located hybrid coronary revascularization remains a very close cooperation of cardiac surgeons and interventional cardiologists. This teamwork does include indication findings and subsequent referral of multivessel coronary artery disease patients to hybrid procedures, as well as high individual flexibility of interventionalists and surgeons. The major prerequisite for this cooperation is a mutual acceptance of different revascularization approaches and the intent to combine their most striking advantages. Intraoperative graft angiography during coronary artery bypass grafting (CABG) procedures is one important step toward simultaneous hybrid coronary revascularization procedures. We describe our experience with on table angiography using a mobile C-arm for intraoperative imaging. This fluoroscopy system can in selected cases be used for simultaneous hybrid procedures.
Authors:
Guy J Friedrich; Patricja Jonetzko; Nikos Bonaros; Thomas Schachner; Michael Danzmayr; Ruth Kofler; G Laufer; O Pachinger; Johannes Bonatti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  8     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2005  
Date Detail:
Created Date:  2005-08-22     Completed Date:  2007-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E258-61     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Innsbruck Medical University, Innsbruck, Austria. guy.friedrich@uklibk.ac.at
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angiography / methods
Angioplasty, Transluminal, Percutaneous Coronary / methods
Coronary Artery Bypass / methods*
Fluoroscopy / methods
Humans
Internal Mammary-Coronary Artery Anastomosis / methods*
Middle Aged
Monitoring, Intraoperative / methods
Surgical Procedures, Minimally Invasive / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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