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Supporting your choice of surgical therapies for your patients with coronary artery disease (CAD).
Hybrid Coronary Revascularisation (HCR) is a treatment plan that combines MICS CABG and Percutaneous Coronary Intervention (PCI). Partnering in either a staged or simultaneous approach, the cardiac surgeon performs the LIMA to LAD anastomosis (MICS CABG) and the interventional cardiologist stents the non-LAD territories. The procedure can be performed as a:
HCR may be an option for patients who ask for a less invasive cardiac therapy. It combines the durability of coronary artery bypass surgery (CABG with LIMA) to the critical LAD territory with the minimal invasiveness of PCI to non-LAD targets. Its advantages include:
The many benefits to clinicians who work together as a heart team to perform HCR, include:
Many patients may benefit from HCR. Consider the following criteria when deciding if your patients are eligible for the procedure.
Good Candidates for HCR4
More than 20 years ago, when we introduced the Octopus™ tissue stabilisers for OPCAB, it changed the way cardiac surgeons could perform beating heart surgeries. For the first time, epicardial tissue could be stabilised using vacuum-assisted technology to complete anastomoses. Today, tissue stabilisers are seen as standard for beating heart therapies. The Octopus Nuvo tissue stabiliser, Starfish™ NS heart positioner, and ThoraTrak™ MICS retractor system are the technologies available from Medtronic to help you perform your HCR procedures.
The Medtronic Octopus Nuvo Tissue Stabiliser
Tissue stabilisers are a standard part of MICS CABG or HCR procedures.
Hybrid Coronary Revascularisation (HCR) procedures are becoming more mainstream today. As the patient population changes, so do the demands on you, the cardiac surgeon. That’s why Medtronic is committed to supporting HCR. Together — with your skilled knowledge and our enabling technologies — we can deliver the right therapies for each individual patient with coronary artery disease (CAD).
Learn new beating heart skills and gain hands-on experience with technologies that may be new to you. We offer a full range of training programs. Contact us to learn more.
Loop FD, Lytle BW, Cosgrove DM, et al. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. N Engl J Med 1985; Jan 2;Vol. 314 (1), pp.1-6.
Serruys PW, Morice MC, Kappetein AP, et al. Percutaneous coronary intervention versus coronary artery bypass grafting for severe coronary artery disease. New Eng J Med. 2009;360:961-972.
Poston RS, Trans R, Collins M, et al. Comparison of economic and patient outcomes with minimally invasive versus traditional off-pump coronary artery bypass grafting techniques. Ann Surg. 2008;248:638-646.
Kiaii B, Teefy P, Sridhar K, Chu M. London Health Sciences Centre Hybrid Coronary Revascularization Technique Guide. April 2014.
Not all patients are candidates for beating heart procedures. Some patients would require cardiopulmonary support during surgery.
See the device manual for detailed information regarding the instructions for use, the implant procedure, indications, contraindications, warnings, precautions, and potential adverse events.
For further information, contact your local Medtronic representative and/or consult the Medtronic website at www.medtronic.eu. For applicable products, consult instructions for use on manuals.medtronic.com. Manuals can be viewed using a current version of any major internet browser. For best results, use Adobe Acrobat® Reader with the browser.