@article{Pyetkov_Polivenok_Skibo_Buchneva_Boyko_2017, title={Hybrid Coronary Revascularization Using Coronary Artery Bypass Grafting via Left Anterior Small Thoracotomy (Single Center Experience)}, url={http://cvs.org.ua/index.php/ujcvs/article/view/137}, DOI={10.30702/ujcvs/17.29/06(031-034)}, abstractNote={<p>Hybrid coronary revascularization (HCR) combines such advantages of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) as durable long-term result and low periprocedural risks.</p> <p><strong>Objective</strong>. To analyze of results of HCR using the minimally invasive direct coronary artery bypass grafting (MIDCAB) on the basis of single center experience.</p> <p><strong>Materials and methods</strong>. Thirty patients underwent MIDCAB with left internal thoracic artery to left anterior descending (LAD) via left anterior small thoracotomy. HCR was performed in eight of them.</p> <p><strong>Results and discussion</strong>. There were no conversions, in-hospital mortality and perioperative myocardial infarctions in the study group. Poor thoracotomy wound reparation was the main complication (and the main disadvantage) that occurred in 8 (27%) patients (seven of them presented with diabetes mellitus or obesity) but with no long-term adverse consequences. In late follow-up period one death occurred for unknown reasons in 13 months after MIDCAB. One patient experienced a relapse of angina in 4 years after HCR due to the stent occlusion.</p> <p><strong>Conclusions</strong>. MIDCAB is still a preferable alternative to PCI in patients with complex LAD lesions especially in centers with limited resources. It also could be used as a stage in HCR in such centers especially in patients with additional risks or limitations for traditional CABG.</p&gt;}, number={3 (29)}, journal={Ukrainian Journal of Cardiovascular Surgery}, author={Pyetkov, O. V. and Polivenok, I. V. and Skibo, Yu. M. and Buchneva, O. V. and Boyko, V. V.}, year={2017}, month={Dec.}, pages={31-34} }