ybrid Coronary Revascularization in the Era of rug-Eluting Stents

t i a r o b n a a n t r s c g d eft internal mammary artery to left anterior descending oronary artery bypass grafting integrated with percutaeous coronary angioplasty (hybrid procedure) offers ultivessel revascularization with minimal morbidity in igh-risk patients. This is caused in part by the avoidnce of cardiopulmonary bypass–related morbidity and anipulation of the aorta coupled with minimally invaive techniques. Hybrid revascularization is currently eserved for particularly high-risk patients or those with avorable anatomic variants however, largely because of he emergence of off-pump coronary artery bypass graftng, which permits more complete multivessel revascuarization, with low morbidity in high-risk groups. The ider introduction of hybrid revascularization is limited hiefly by the high number of repeat interventions comared with off-pump coronary artery bypass grafting, hich occurs because of the target vessel failure rate of ercutaneous coronary intervention. Other demerits are