Respite for hybrid coronary revascularization

Abstract

Hybrid coronary revascularization incorporates a surgical anastomosis of the left internal mammary artery to the left anterior descending coronary artery through a thoracotomy and percutaneous implantation of drug eluting stents in diseased non-left anterior descending coronary arteries. Hybrid coronary artery revascularization can be performed as a 1-stage procedure in a hybrid operating room or as a tightly scheduled 2-stage procedure. Hybrid coronary artery revascularization is seldom the selected modality for coronary revascularization due to the lack of a hybrid operating room in many hospitals, the recommended thoracotomy approach for bypass, or the rigid schedule of surgical and endovascular revascularization. A 2-stage approach, using a sternotomy as compared to standard thoracotomy, and a flexible schedule between surgical and endovascular procedures may facilitate the adoption of hybrid coronary revascularization with noncomplex multi-vessel stable coronary artery disease.

Conformity of Female College Students on Feminine Norms

“…This pattern of result is present in the apparent idea that women take an active part in caring for the children; it is reflected in Gacad's (2019) qualitative study studies. The study also highlights that society expects women to fulfill their responsibilities at home and play an appropriate role in being moral mothers.…”