HCR vs. CABG Study
HCR vs. CABG Study
The purpose of the study is to find out if hybrid coronary revascularization (HCR) and
 coronary artery bypass grafting (CABG) procedure outcomes are similar. HCR is a combination
 of surgery and catheter procedures to open up clogged heart arteries. CABG is a surgical
 procedure to open up clogged heart arteries.
Currently, it is not clear how the outcomes of hybrid coronary revascularization (HCR)
 compare with other treatments. The purpose of the study is to find out if HCR and coronary
 artery bypass grafting (CABG) procedure outcomes are similar. HCR is a combination of surgery
 and catheter procedures to open up clogged heart arteries. CABG is a surgical procedure to
 open up clogged heart arteries.

 This study will collect information about the medical care participants receive during their
 planned procedure. No new testing or procedures will be done. Participants will have only the
 tests or procedures already planned by their doctor. The investigators will look at how well
 participants do after the procedure by assessing the outcomes of interest 30 days after
 surgery and, potentially, one year after surgery (funding dependent).
Inclusion Criteria:

 -  Able to give informed consent

 -  Have multi-vessel coronary artery disease (CAD) involving the Left Anterior Descending
 (LAD) artery

 -  Have a clinical indication for revascularization

 -  Are a candidate for either HCR or CABG or both

 -  Anatomy suitable for HCR shall include

 1. Multi-vessel CAD involving the LAD and/or

 2. LAD disease and involvement of a major diagonal artery, both of which require
 revascularization

 Exclusion Criteria:

 -  Prior cardiac operations

 -  Severe left ventricular dysfunction with ejection fraction (EF) < 30%

 -  Patients with chest radiation

 -  Body mass index (BMI) > 35

 -  Severe peripheral vascular disease (PVD)

 -  Acute ischemia requiring emergent traditional coronary artery bypass graft (CABG)