{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T02:01:40Z","timestamp":1781661700947,"version":"3.54.5"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2014,9,9]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>Hybrid coronary revascularization (HCR) involves a combination of surgical and percutaneous techniques, which in selected patients may present an alternative to conventional coronary artery bypass grafting (CABG).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>\n              Patients were included who underwent HCR (staged\/concurrent) or isolated CABG in the Society of Thoracic Surgeons Adult Cardiac Surgery Database (July 2011 to March 2013). HCR represented 0.48% (n=950; staged=809, concurrent=141) of the total CABG volume (n=198\u2009622) during the study period, and was performed in one-third of participating centers (n=361). Patients who underwent HCR had higher cardiovascular risk profiles in comparison with patients undergoing CABG. In comparison with CABG, median sternotomy (98.5% for CABG, 61.1% for staged HCR, and 52.5% for concurrent HCR), direct vision harvesting (98.9%, 66.0%, and 68.1%) and cardiopulmonary bypass (83.4%, 45%, and 36.9%) were less frequently used for staged and concurrent HCR, whereas robotic assistance (0.7%, 33.0%, and 30.5%) was more common. After adjustment, no differences were observed for the composite of in-hospital mortality and major morbidity (odds ratio, 0.93; 95% confidence interval, 0.75\u20131.16;\n              <jats:italic>P<\/jats:italic>\n              =0.53 for staged HCR, and odds ratio, 0.94; 95% confidence interval, 0.56\u20131.56;\n              <jats:italic>P<\/jats:italic>\n              =0.80 for concurrent HCR in comparison with CABG). There was no statistically significant association between operative mortality and either treatment group (odds ratio, 0.74; 95% confidence interval, 0.42\u20131.30;\n              <jats:italic>P<\/jats:italic>\n              =0.29 for staged HCR, and odds ratio, 2.26; 95% confidence interval, 0.99\u20135.17;\n              <jats:italic>P<\/jats:italic>\n              =0.053 for concurrent HCR in comparison with CABG).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion\u2014<\/jats:title>\n            <jats:p>HCR, either as a staged or concurrent procedure, is performed in one-third of US hospitals and is reserved for a highly selected patient population. Although HCR may appear to be an equally safe alternative for CABG surgery, further randomized study is warranted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.114.009479","type":"journal-article","created":{"date-parts":[[2014,7,24]],"date-time":"2014-07-24T06:42:18Z","timestamp":1406184138000},"page":"872-879","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":93,"title":["Practice Patterns and Clinical Outcomes After Hybrid Coronary Revascularization in the United States"],"prefix":"10.1161","volume":"130","author":[{"given":"Ralf E.","family":"Harskamp","sequence":"first","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Matthew","family":"Brennan","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Xian","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Halkos","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Puskas","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod H.","family":"Thourani","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James S.","family":"Gammie","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley S.","family":"Taylor","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robbert J.","family":"de Winter","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunghee","family":"Kim","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric D.","family":"Peterson","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey G.","family":"Gaca","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute and Duke University Medical Center, Durham NC (R.E.H., J.M.B., Y.X., S.K., S.O'B., E.D.P., J.G.G.); Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands (R.E.H., R.J.d.W.); Cardiothoracic Surgery Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA (M.E.H., V.H.T); Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY (J.D.P.); and Heart Center of the..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)90107-5"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.05.090"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.04.007"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.07.093"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.111.031138"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.111.041186"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.08.041"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.05.053"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.09.025"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1159\/000110486"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.10.011"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt390"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2012.00752.x"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt016"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/IMI.0b013e3182a2503a"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.05.026"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2010.09.003"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(09)70514-8"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.10.019"}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCULATIONAHA.114.009479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T06:37:19Z","timestamp":1715582239000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.114.009479"}},"subtitle":["An Analysis From the Society of Thoracic Surgeons Adult Cardiac Database"],"short-title":[],"issued":{"date-parts":[[2014,9,9]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,9,9]]}},"alternative-id":["10.1161\/CIRCULATIONAHA.114.009479"],"URL":"https:\/\/doi.org\/10.1161\/circulationaha.114.009479","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,9]]},"assertion":[{"value":"2014-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-06-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}