Introduction
Hybrid Coronary Revascularization(HCR) with arterial grafts to the left
anterior descending artery (LAD) and percutaneous coronary interventions
for non-LAD lesions have been shown excellent graft patency rates and
long-term results. This approach is a feasible strategy in selected
patients with multivessel coronary artery disease1.
Robotically enhanced-minimally invasive direct coronary artery bypass
(RE-MIDCAB) is an endoscopic approach with robotic harvesting of the
left internal mammary artery(LIMA) followed by hand-sewn anastomosis
under direct vision to the LAD on the beating heart (Fig.1A) .
Robotically-assisted PCI (R-PCI) is a novel approach in interventional
cardiology, where operators perform PCI controlling guidewires and
catheter devices remotely (Fig.1B) .