The Impact of Hybrid Coronary Revascularization on Hospital Costs and Reimbursements

Application of Two-Stage Hybrid Coronary Revascularization in Multivessel Coronary Artery Disease

“…According to the recovery of 16 patients undergoing HCR in our study, two-stage HCR has higher security, lower incidence of complications and better short-term efficacy. Patients in HCR group had longer hospital stay and higher medical expense compared with patients in PCI group, which was similar to the report Application of two-stage hybrid coronary revascularization 9 from Halkos ME et al that medical expense was higher for patients undergoing HCR than that of patients undergoing off-pump CABG (15). In our study, PCI was difficult to treat LAD lesions in patients undergoing HCR, unless special equipment and operation, such as rotational atherectomy, guiding catheter deep insertion or 5-in-6 double catheter technique, multiple balloons and stents are used, which, however, increases the operation risk and medical cost.…”

Current state and future direction of hybrid coronary revascularization

“…The hybrid concept may be of particular interest in countries in which an 'open market' healthcare system is in place. As healthcare organizations have to distinguish themselves, providers and managers are increasingly aware of the procedural and financial opportunities that a hybrid operating room can offer, as well as the benefits of offering alternative surgical treatments to attract patients [27]. These are two important additional factors that will likely boost the number of hybrid procedures in the future.…”

Hybrid coronary revascularization versus coronary artery bypass surgery: Systematic review and meta-analysis

“…In an era focused on minimally invasive interventions, HCR aims to reduce recovery duration, hospital complications and surgical trauma, whilst maintaining durability outcomes similar to that of CABG [1, 4,5]. However there is a lack of robust clinical evidence, mostly limited to observational studies with short-term follow-up, on the efficacy and complications of HCR amidst concerns of financial cost [6] and learning curve. Thus, in order to assess the relative benefits of HCR versus CABG based on the available evidence, a systematic review and meta-analysis was performed.…”