Minimally Invasive- Hybrid Coronary Revascularization Surgery (MIHCR)

Introduction

Minimally invasive Hybrid Coronary Revascularisation is a combination of Minimally Invasive Coronary Artery Bypass Graft surgery (MICS-CABG) and Angioplasty (stent insertion). This novel procedure is used to treat patients with multi-vessel coronary artery disease, who may otherwise require conventional open CABG. This Minimally Invasive approach avoids splitting of the central chest bone sternotomy and long cuts in the legs. Minimally Invasive - Hybrid Coronary Revascularisation (MINCR) surgery Is now Increasingly performed in the western world.

Dr. Manish Hinduja and his team are one of the few units in India that routinely perform this surgery, through a unique 2 stage approach. The consistent support between surgeons and cardiologists that this procedure demands has been pivotal to the success achieved by Dr. Manish Hinduja and his fellow cardiologists.

The 2-Stage Approach:

During this procedure, MICS-CABG Is performed first, followed by Angioplasty (stent insertion), after 24-48 hours.

Advantages:

1. Minimally invasive approach, combining the best of both long-term outcomes from surgery and angioplasty.
2. Patients with multi-vessel disease, poor heart function, additional medical problems and the elderly can avoid conventional open CABG and complications thereof.
3. The use of arterial conduits increases the durability of the bypass grafts and Minimal trauma and pain.
4. Minimal blood loss and related complications.
5. Minimal risk of wound infection.
6. Short hospital stays of 3-4 days on average.
7. Quick recovery to normal activity 2-3 weeks on average.