Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Endoscopic removal of a papillary fibroelastoma of the tricuspid valve.

Annals of cardiothoracic surgery·2026

Same author

Endoscopic mitral valve surgery: picture from the real world-sub-analysis from the Mini-Mitral International Registry.

Journal of visualized surgery·2026

Same author

Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction.

European heart journal·2026

Same author

Ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2026

Same author

A prospective, multicenter trial of irrigated radiofrequency ablation and cryoablation to treat nonparoxysmal atrial fibrillation.

The Journal of thoracic and cardiovascular surgery·2026

Same author

Automated Alerts to Improve Timely Evaluation and Treatment of Valvular Heart Disease: The ALERT Trial.

Journal of the American College of Cardiology·2026

Search research articles

Related Experiment Video

Updated: May 8, 2026

Robotic Ablation of Atrial Fibrillation

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

Robotically assisted hybrid coronary revascularization: does sequence of intervention matter?

Mukta C Srivastava¹, Mark R Vesely, Jeffrey D Lee

¹Division of Cardiology, University of Maryland Medical Center, Baltimore, MD 21201, USA. msrivast@medicine.umaryland.edu

Innovations (Philadelphia, Pa.)

|August 31, 2013

Summary

Hybrid coronary revascularization sequence did not significantly alter patient outcomes. Performing percutaneous coronary intervention (PCI) before or during surgery led to shorter hospital stays, suggesting individualized treatment approaches for coronary artery disease.

More Related Videos

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Related Experiment Videos

Last Updated: May 8, 2026

Robotic Ablation of Atrial Fibrillation

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Area of Science:

Cardiology
Cardiovascular Surgery
Interventional Cardiology

Background:

Hybrid coronary revascularization (HCR) combines minimally invasive surgery and percutaneous coronary intervention (PCI) for multivessel coronary disease.
The optimal sequence for HCR procedures remains undetermined.
Robotically assisted totally endoscopic coronary artery bypass (TECAB) is a surgical component of HCR.

Purpose of the Study:

To investigate clinical outcomes based on the revascularization sequence in patients undergoing HCR.
To compare outcomes between TECAB-first, PCI-first, and same-session HCR procedures.

Main Methods:

An observational study of 238 patients planned for HCR between 2001 and 2011.
Patients were grouped by revascularization sequence: TECAB before PCI, PCI before TECAB, or same-session.
Clinical endpoints and procedural outcomes were compared up to 2 years post-procedure.

Main Results:

73.5% underwent TECAB before PCI, 16.0% PCI before TECAB, and 10.5% same-session.
The PCI-first group had a higher incidence of previous myocardial infarction.
Simultaneous revascularization was associated with shorter ICU length of stay (LOS), and PCI-first with shorter overall hospital LOS.

Conclusions:

Revascularization sequence did not dramatically impact overall clinical outcomes in this observational study.
PCI-first and same-session approaches resulted in shorter hospital and ICU LOS compared to surgery-first.
Individualized HCR sequencing based on patient factors and anatomy is recommended.