Hybrid coronary revascularization versus coronary artery bypass grafting in patients with multivessel coronary artery disease: A meta‐analysis |
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| Authors: | Partha Sardar MD Amartya Kundu MD Michelle Bischoff MD Saurav Chatterjee MD Theophilus Owan MD Ramez Nairooz MD Jay Giri MD Michael E. Halkos MD Henry Liberman MD John S. Douglas MD Debabrata Mukherjee MD MS |
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| Affiliation: | 1. Division of Cardiovascular Medicine, University of Utah, Salt Lake City, Utah;2. Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts;3. Department of Medicine, University of Utah, Salt Lake City, Utah;4. Division of Cardiovascular Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania;5. Division of Cardiovascular Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas;6. Cardiovascular Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania;7. Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia;8. Clinical Research Unit, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia;9. Division of Cardiovascular Medicine, Texas Tech University Health Sciences Center, El Paso, Texas |
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| Abstract: | The stimulus to create this document was the recognition that ionizing radiation‐guided cardiovascular procedures are being performed with increasing frequency, leading to greater patient radiation exposure and, potentially, to greater exposure for clinical personnel. Although the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. The American College of Cardiology leadership concluded that it is important to provide practitioners with an educational resource that assembles and interprets the current radiation knowledge base relevant to cardiovascular procedures. By applying this knowledge base, cardiovascular practitioners will be able to select procedures optimally, and minimize radiation exposure to patients and to clinical personnel. Optimal Use of Ionizing Radiation in Cardiovascular Imaging: Best Practices for Safety and Effectiveness is a comprehensive overview of ionizing radiation use in cardiovascular procedures and is published online. To provide the most value to our members, we divided the print version of this document into 2 focused parts. Part I: Radiation Physics and Radiation Biology addresses the issue of medical radiation exposure, the basics of radiation physics and dosimetry, and the basics of radiation biology and radiation‐induced adverse effects. Part II: Radiological Equipment Operation, Dose‐Sparing Methodologies, Patient and Medical Personnel Protection covers the basics of operation and radiation delivery for the 3 cardiovascular imaging modalities (x‐ray fluoroscopy, x‐ray computed tomography, and nuclear scintigraphy) and will be published in the next issue of the Journal. |
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| Keywords: | coronary bypass grafts hybrid revascularization coronary coronary artery disease |
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