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.

1. What is Hybrid Coronary Revascularization (HCR)? (4:39)
2. Benefits of a Heart Team Approach (1:49)
3. Patient Selection Considerations for HCR (2:07)
4. Robotic/Endoscopic ITA Harvesting (1:22)
5. Direct Vision ITA Harvesting: Patient Positioning – Location of Incisions (2:38)
6. Anastomosis and ITA Completion Angiogram (0:52)
7. Single Stage Anticoagulation/Antiplatelet Consideration Protocol (5:05)
8. Intraoperative Considerations (1:48)

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.

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