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Updated: Jun 22, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
One-stage hybrid procedure: association between awake minimally invasive surgical revascularization and percutaneous
Mauro Del Giglio1, Andrea Dell'Amore, Andrea Zuffi
1Department of Cardiovascular Surgery, Villa Maria Cecilia Hospital, Lugo, RA, Italy.
Abstract:
Hybrid revascularization provides minimally invasive options for high-risk patients with multivessel coronary artery disease. We used a hybrid approach in two patients. The surgical revascularization with the left internal mammary artery (LIMA) on the left descending coronary artery was performed through an inferior j-shaped mini-sternotomy keeping the patients awake with high-epidural thoracic anesthesia. At the end of the operations the patients were moved to the angiography laboratory to complete the revascularization with angioplasty. No complications were reported.
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