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Michael E. Halkos, MD, MS, Patrick F. Walker, BS, Thomas A

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Presentation on theme: "Michael E. Halkos, MD, MS, Patrick F. Walker, BS, Thomas A"— Presentation transcript:

1 Clinical and Angiographic Results After Hybrid Coronary Revascularization 
Michael E. Halkos, MD, MS, Patrick F. Walker, BS, Thomas A. Vassiliades, MD, MBA, John S. Douglas, MD, Chandan Devireddy, MD, Robert A. Guyton, MD, Aloke V. Finn, MD, S. Tanveer Rab, MD, John D. Puskas, MD, MS, Henry A. Liberman, MD  The Annals of Thoracic Surgery  Volume 97, Issue 2, Pages (February 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Coronary angiogram of patient treated with hybrid coronary revascularization (HCR). (A and B) Solid arrow indicates distal left main coronary lesion, dashed arrow indicates first diagonal lesion. (C) Kissing balloon technique used to treat distal left main and diagonal coronary arteries after left internal mammary artery (LIMA) to left anterior descending artery (LAD) grafting. (D) Follow-up angiogram demonstrating successfully treated left main and diagonal coronary arteries, lesion at bifurcation of LAD and first diagonal (solid arrow), and competitive flow from LIMA to LAD graft (dashed arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Coronary angiogram of patient treated with hybrid coronary revascularization (HCR). (A) Solid arrow indicates mid left anterior descending artery (LAD) lesion and dashed arrow indicates ostial LAD lesion. (B) Solid arrow indicates focal circumflex lesion. The patient ultimately underwent two-staged HCR with left internal mammary artery (LIMA) to LAD and percutaneous coronary intervention of the circumflex coronary artery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Flow diagram of patients undergoing hybrid coronary revascularization (HCR) on an intent-to-treat basis. (CABG = coronary artery bypass graft surgery; LAD = left anterior descending artery; LIMA = left internal mammary artery; PCI = percutaneous coronary intervention.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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