{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T11:00:31Z","timestamp":1784977231181,"version":"3.55.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations&amp;#65533;(Phila)"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare perioperative outcomes in patients who receive complete revascularization in one-stage or two-stage hybrid coronary revascularization (HCR) with initial angioplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The research is a retrospective subanalysis of the HYBRID-COR feasibility study. Thirty patients who underwent one-stage HCR (endoscopic atraumatic coronary artery bypass grafting [EACAB] and percutaneous coronary intervention [PCI]; group 1) were compared with 121 patients who underwent EACAB procedure as a final stage of HCR (group 2). Observations of bleeding, transfusion requirements, kidney injury, and other complications were conducted. Long-term outcomes were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Median (interquartile range [IQR]) perioperative drainage was higher in group 1 (750.0 [422.5 to 1,112.5] mL vs 400.0 [252.5 to 650.0] mL,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004), as was mechanical ventilation time (430.0 [300.0 to 600.0] min vs 300.0 [225.0 to 410.0] min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). Patients in group 1 required pleurocentesis more often (36.7% vs 13.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003), as well as blood transfusions (26.7% vs 9%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.009). No significant differences were found for kidney injury incidence (20% vs 14.9%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.493). Two deaths (1.6%) and 1 myocardial infarction (0.8%) were noted in group 2 in the perioperative period. In a median long-term follow-up of 1,378.5 (758.0 to 2,033.0) days, no significant differences were noted in major adverse cardiac and cerebrovascular events, mortality, myocardial infarction occurrence, repeat revascularization, or incidence of stroke.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PCI-first HCR is associated with less postoperative drainage, shorter mechanical ventilation time, fewer pleurocenteses, and less transfusion requirements when compared with one-stage HCR. The heart team decision is essential in choosing individual strategy, as the risk of postponing complete revascularization and temporary dual antiplatelet therapy withdrawal must be evaluated. Further studies are required, particularly on long-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845261425652","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T06:00:52Z","timestamp":1777010452000},"page":"129-137","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Surgical Outcomes and Long-Term Follow-Up in One-Stage Versus Two-Stage Hybrid Coronary Revascularization With DES"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6266-2769","authenticated-orcid":false,"given":"Magdalena","family":"Synak","sequence":"first","affiliation":[{"name":"Department of Cardiology, Andrzej Frycz Modrzewski Krakow University, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justyna","family":"Jankowska-Sanetra","sequence":"additional","affiliation":[{"name":"Department of Cardiology, American Heart of Poland, Bielsko-Bia\u0142a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiktoria","family":"Stankiewicz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Andrzej Frycz Modrzewski Krakow University, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Mazur","sequence":"additional","affiliation":[{"name":"Department of Cardiology, American Heart of Poland, Bielsko-Bia\u0142a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"K\u0119pa","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, American Heart of Poland, Bielsko-Bia\u0142a, Poland"},{"name":"Department of Cardiac Surgery, Academy of Silesia, Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witold","family":"Gerber","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, American Heart of Poland, Bielsko-Bia\u0142a, Poland"},{"name":"Department of Cardiac Surgery, Academy of Silesia, Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"Milewski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, American Heart of Poland, Bielsko-Bia\u0142a, Poland"},{"name":"Department of Cardiology, Academy of Silesia, Katowice, Poland"},{"name":"Center for Cardiovascular Research and Development, American Heart of Poland, Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"Ka\u017amierczak","sequence":"additional","affiliation":[{"name":"American Heart of Poland, Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142 Eugeniusz","family":"Buszman","sequence":"additional","affiliation":[{"name":"Cardiology Department, Collegium Medicum, Jan D\u0142ugosz University, Cz\u0119stochowa, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Bochenek","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, American Heart of Poland, Bielsko-Bia\u0142a, Poland"},{"name":"Department of Cardiac Surgery, Academy of Silesia, Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Cisowski","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital, Institute of Medical Sciences, University of Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr Pawe\u0142","family":"Buszman","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Andrzej Frycz Modrzewski Krakow University, Poland"},{"name":"Department of Cardiology, American Heart of Poland, Bielsko-Bia\u0142a, Poland"},{"name":"Center for Cardiovascular Research and Development, American Heart of Poland, Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"Sanetra","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, American Heart of Poland, Bielsko-Bia\u0142a, Poland"},{"name":"Division of Cardiovascular Surgery, Collegium Medicum, Andrzej Frycz Modrzewski Krakow University, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)90107-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy394"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuad107"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.1016255"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx419"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.08.1038"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.09.049"},{"key":"e_1_3_2_9_2","first-page":"1182","article-title":"Hybrid coronary revascularization (HCR) versus coronary artery bypass grafting (CABG) in multivessel coronary artery disease (MVCAD): a meta-analysis of 14 studies comprising 4226 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