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Is Hybrid Coronary Revascularization Favored by Cardiologists or Cardiac Surgeons?
(#2002-50132 ... September 20, 2002)
Hratch Karamanoukian, MD, Thomas A. Vassiliades, MD, Harry W. Donias, MD,
W. Douglas Boyd, MD, Kenneth D. Stahl, MD, Giuseppe D'Ancona, MD
Center for Less Invasive Cardiac Surgery and Robotic Heart Surgery, Buffalo
General Hospital, Buffalo, New York
ABSTRACT
We investigated the present use of integrated coronary
revascularization (ICR) by interviewing a sample of United
States invasive cardiologists and cardiac surgeons. Both
groups still favor left internal mammary artery (LIMA)
grafting to revascularize the left anterior descending (LAD)
coronary artery. There remains a lack of exposure to and
acceptance of ICR, especially for surgeons. We report the
findings of this national survey of 180 cardiologists and
160 surgeons, as they may serve as an indicator of the current
opinions about ICR and its future applicability as a
standard method of coronary artery revascularization. We
discuss the limited popularity of minimally invasive hybrid
procedures and the importance of further exposing cardiologists
and surgeons to ICR.
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