Stellenwert der koronaren Hybridrevaskularisation

Zusammenfassung

Unter der hybriden koronaren Revaskularisation (HCR) versteht man die kombinierte chirurgische und interventionelle Therapie der koronaren Herzkrankheit bei Patienten mit signifikanter koronarer Mehrgefäßerkrankung. Die HCR wurde als eine Alternative zur konventionellen koronaren Bypassoperation oder zur „multi-vessel“ perkutanen koronaren Intervention bei mehreren tausend Patienten bereits erfolgreich durchgeführt. In diesem Übersichtsartikel wird ein Überblick über die Definitionen, die Indikationen zur HCR, zu Patientenselektion und zeitlichem Ablauf der Prozeduren sowie über die chirurgische Technik und die aktuelle Evidenz gegeben.

Abstract

Hybrid coronary revascularisation (HCR) is a combination of surgical and interventional therapy for patients with multi-vessel coronary artery disease. HCR has been performed as an alternative to conventional coronary artery bypass grafting and percutaneous coronary intervention in several thousand patients successfully. Herein we provide an overview of definition, rationale of HCR, patient selection and timing for HCR, as well as of the surgical technique and current evidence.

Schlüsselwörter

koronare Herzerkrankung - koronare Revaskularisation - perkutane Koronarintervention (PCI) - koronare Bypassoperation (CABG) - minimalinvasive koronare Bypassoperation (MIDCAB) - hybride koronare Revaskularisation (HCR)

Key words

coronary artery disease - coronary revascularisation - percutaneous coronary intervention (PCI) - coronary artery bypass grafting (CABG) - minimally invasive coronary artery bypass grafting (MIDCAB) - hybrid coronary revascularisation (HCR)

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