Prospects for open myocardial revascularization: minimally invasive and hybrid coronary bypass surgery. What to choose?
The optimal strategy for myocardial revascularization is still being actively discussed. Rapid development of endovascular techniques and improvement of conservative approaches in the treatment of coronary heart disease creates serious competition for open heart surgery, and thus creates prerequisites for changing approaches to its implementation. This is reflected in the modern desire to ensure minimal invasiveness, reduce injuries and giving up the on-pump. Among the methods of minimally invasive revascularization currently used in practice, multiple minimally invasive coronary bypass surgery and hybrid myocardial revascularization are of the greatest practical importance. The article presents current data on the features, results, advantages and limitations of these methods of revascularization, which are necessary for making an optimal decision on the tactics of surgical intervention during coronary bypass surgery.