About Hybrid Coronary Revascularization

While some people with blocked arteries need open surgery, hybrid coronary revascularization offers a minimally invasive possibility. This advanced technique combines two standard treatments for coronary artery disease (CAD): coronary angioplasty with stents and coronary artery bypass graft surgery (CABG).

A hybrid approach may help if you have several blockages that doctors cannot open just by performing angioplasty. Instead, your interventional cardiologist stents some blockages, and our surgeon connects a bypass graft to your heart’s critical left anterior descending (LAD) artery. Doing so provides:

• Flexibility: Angioplasty is performed days or weeks before CABG, during the surgery itself, or soon afterward. We recommend the schedule that best suits your medical needs.
• Durability: The hybrid approach offers the full benefits of surgery. During bypass, our surgeon can still make a graft using your chest wall’s left internal mammary artery (LIMA), the most durable and long-lasting option.
• Safety and comfort: Our team performs the hybrid approach without stopping your heart. We also avoid open-heart surgery, with three or four incisions less than one-half inch wide (robotic-assisted approach) or one incision on the left side that is two to three inches long (manual technique). Benefits of a minimally invasive approach include:
  • Fewer complications
  • Less scarring
  • Shorter hospital stay
  • Less pain afterward, with faster recovery