HCR PROCEDURE VIDEO
WITH LONDON HEALTH SCIENCES CENTRE
HEART TEAM HYBRID CORONARY REVASCULARIZATION

VIDEO OVERVIEW

This video introduces the Hybrid Coronary Revascularization (HCR) procedure as practiced at London Health Sciences Centre (LHSC). The procedure typically combines a minimally invasive bypass of the LAD (left anterior descending artery) with PCI (percutaneous coronary intervention) of the non-LAD territories. The HCR procedure may be conducted in a single stage in the same setting, or the two procedures may be staged.

Hybrid Coronary Revascularization Procedure Video

The video is divided into chapters for ease of viewing. You can watch the chapters in any order, although they appear below in sequence. Click on a link below or scroll down the page to view a specific chapter.

 

What is Hybrid Coronary Revascularization (HCR)?

Introduction to the Hybrid Coronary Revascularization (HCR) procedure as practiced by the London Health Sciences Centre heart team.
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Legal Note
The content, procedural techniques and opinions expressed in these materials are those of the respective health care providers presenting, and not of Medtronic. The materials are published here with the permission of the owners. This information is provided as an educational resource to practitioners based on an identified need, but is not intended to constitute medical advice or in any way replace the independent medical judgment of a trained and licensed physician with respect to any patient needs or circumstances. Please see the complete Instructions of Use for products discussed or demonstrated, including all product indications, contraindications, precautions, warnings, and adverse events. These materials are prepared using trained surgeons, who have been using these products regularly within their practices, and the ease of use and outcomes may be different when used by untrained or inexperienced practitioners.

Benefits of a Heart Team Approach for HCR Procedures

Discussion of the advantages of a surgical team approach to HCR procedures.
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Patient Selection Considerations for HCR Procedures

Discussion of the characteristics of patient candidates for HCR procedures.
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Robotic/Endoscopic ITA Harvesting During HCR Procedures

Demonstration of robotic/endoscopic ITA harvesting during an HCR procedure.
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Direct Vision ITA Harvesting: Patient Positioning and Location of Incision During HCR Procedures

Demonstration of the patient position for direct vision ITA harvesting during an HCR procedure.
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Anastomosis and ITA Completion Angiogram During HCR Procedures

Demonstration of anastomosis and ITA completion angiogram as part of an HCR procedure.
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Single Stage Anticoagulation/Antiplatelet Consideration Protocol for HCR Procedures

Discussion of single stage anticoagulation/antiplatelet consideration protocol for HCR procedures.
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Intraoperative Considerations for HCR Procedures

Discussion of intraoperative considerations for HCR procedures.
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Important Safety Information
Not all patients are candidates for beating heart procedures. Some patients would require cardiopulmonary support during surgery.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. For a listing of indications, contraindications, precautions, warnings and potential adverse events, please refer to the Instructions for Use.