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)?
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
Patient Selection Considerations for HCR Procedures
Robotic/Endoscopic ITA Harvesting During HCR Procedures
Direct Vision ITA Harvesting: Patient Positioning and Location of Incision During HCR Procedures
Anastomosis and ITA Completion Angiogram During HCR Procedures
Single Stage Anticoagulation/Antiplatelet Consideration Protocol for HCR Procedures
Intraoperative Considerations for HCR Procedures
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.