Fractional Flow Reserve-Guided Hybrid Coronary Revascularization in Multi-Vessel Coronary Arteries Disease

  • Y. Y. Stukov National M. M. Amosov Institute of Cardiovascular Surgery National Academy of the Medical Sciences of Ukraine (Kyiv)
  • S. A. Rudenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of the Medical Sciences of Ukraine (Kyiv)
  • A. Yu. Gavrylyshyn National M. M. Amosov Institute of Cardiovascular Surgery National Academy of the Medical Sciences of Ukraine (Kyiv)
  • M. L. Rudenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of the Medical Sciences of Ukraine (Kyiv)
  • S. V. Salo National M. M. Amosov Institute of Cardiovascular Surgery National Academy of the Medical Sciences of Ukraine (Kyiv)
  • A. V. Rudenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of the Medical Sciences of Ukraine (Kyiv)
Keywords: coronary artery bypass grafting, multi-vessel coronary disease, surgical revascularization, atherosclerosis, ischemic heart disease, hybrid coronary revascularization, off-pump coronary artery bypass grafting, percutaneous interventions, minimally invasive direct coronary artery bypass grafting, fractional flow reserve

Abstract

Coronary artery bypass grafting without cardiopulmonary bypass (OPCABG) as a minimally invasive cardiac surgery (MICS) procedure has been used increasingly to treat coronary artery disease. We present our experience using off-pump minimally – invasive direct coronary artery bypass grafting (OPMIDCAB) and fractional flow reserve (FFR) – guided percutaneous coronary interventions (PCI) strategy for coronary revascularization.

Purpose. Presentation of our experience in FFR – guided hybrid coronary revascularization in patients with multi – vessel coronary artery disease.

Conclusion. A hybrid procedure that changes a conventional CABG of all stenotic arteries, into a FFR – guided PCI is an appealing way to minimize the risk of complex heart surgery, combining positive outcomes of CABG along with low stent restenosis and thrombosis rates compared to venous grafts.

Published
2018-09-17
How to Cite
Stukov, Y. Y., Rudenko, S. A., Gavrylyshyn, A. Y., Rudenko, M. L., Salo, S. V., & Rudenko, A. V. (2018). Fractional Flow Reserve-Guided Hybrid Coronary Revascularization in Multi-Vessel Coronary Arteries Disease. Ukrainian Journal of Cardiovascular Surgery, (3 (32), 24-27. https://doi.org/10.30702/ujcvs/18.32/05(024-027)
Section
ISCHEMIC HEART DISEASE