{"id":"https://openalex.org/W7122554935","doi":"https://doi.org/10.5281/zenodo.18210791","title":"HYBRID CORONARY REVASCULARIZATION IN HIGH-RISK PATIENTS OVER 75 WITH NON-VALVULAR DISEASE: A CASE STUDY APPROACH","display_name":"HYBRID CORONARY REVASCULARIZATION IN HIGH-RISK PATIENTS OVER 75 WITH NON-VALVULAR DISEASE: A CASE STUDY APPROACH","publication_year":2025,"publication_date":"2025-12-31","ids":{"openalex":"https://openalex.org/W7122554935","doi":"https://doi.org/10.5281/zenodo.18210791"},"language":"en","primary_location":{"id":"doi:10.5281/zenodo.18210791","doi":"https://doi.org/10.5281/zenodo.18210791","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18210791","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.5281/zenodo.18210791","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5122819718","display_name":"GIORGI GABAIDZE","orcid":"https://orcid.org/0009-0001-6209-6613","observed_orcids":["https://orcid.org/0009-0001-6209-6613"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"GIORGI GABAIDZE","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122836647","display_name":"NINO ZHVANIA","orcid":"https://orcid.org/0009-0008-3895-1721","observed_orcids":["https://orcid.org/0009-0008-3895-1721"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"NINO ZHVANIA","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022793605","display_name":"Ioseb Sikharulidze","orcid":"https://orcid.org/0009-0006-4985-4906","observed_orcids":["https://orcid.org/0009-0006-4985-4906"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"IOSEB SIKHARULIDZE","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5057045442","display_name":"B.R. Nachkebiya","orcid":"https://orcid.org/0000-0003-0863-043X","observed_orcids":["https://orcid.org/0000-0003-0863-043X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"BACHUKI NACHKEBIIA","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.9833999872207642,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.9833999872207642,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.014100000262260437,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hybrid-coronary-revascularization","display_name":"hybrid coronary revascularization","score":0.9760000109672546},{"id":"https://openalex.org/keywords/high-surgical-risk","display_name":"high surgical risk","score":0.859000027179718},{"id":"https://openalex.org/keywords/euroscore","display_name":"EuroSCORE","score":0.6549999713897705},{"id":"https://openalex.org/keywords/coronary-artery-disease","display_name":"coronary artery disease","score":0.7760000228881836},{"id":"https://openalex.org/keywords/left-internal-thoracic-artery-graft","display_name":"left internal mammary artery graft","score":0.8100000023841858},{"id":"https://openalex.org/keywords/percutaneous-coronary-intervention","display_name":"percutaneous coronary intervention","score":0.9399999976158142},{"id":"https://openalex.org/keywords/coronary-artery-bypass-grafting","display_name":"coronary artery bypass grafting","score":0.8769999742507935},{"id":"https://openalex.org/keywords/major-adverse-cardiac-events","display_name":"major adverse cardiac events","score":0.8529999852180481},{"id":"https://openalex.org/keywords/graft-patency","display_name":"graft patency","score":0.9409999847412109},{"id":"https://openalex.org/keywords/restenosis","display_name":"restenosis","score":0.8889999985694885},{"id":"https://openalex.org/keywords/functional-capacity","display_name":"functional capacity","score":0.5180000066757202},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7680000066757202},{"id":"https://openalex.org/keywords/angina-relief","display_name":"angina relief","score":0.4779999852180481},{"id":"https://openalex.org/keywords/postoperative-recovery","display_name":"postoperative recovery","score":0.5180000066757202}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9674999713897705},{"id":"https://openalex.org/C45393284","wikidata":"https://www.wikidata.org/wiki/Q191012","display_name":"Conventional PCI","level":3,"score":0.7896999716758728},{"id":"https://openalex.org/C2779464278","wikidata":"https://www.wikidata.org/wiki/Q7317735","display_name":"Revascularization","level":3,"score":0.6155999898910522},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5471000075340271},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.5407000184059143},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.5382000207901001},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.536899983882904},{"id":"https://openalex.org/C2778425758","wikidata":"https://www.wikidata.org/wiki/Q180762","display_name":"Angina","level":3,"score":0.4927000105381012},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.48669999837875366},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4487000107765198},{"id":"https://openalex.org/C3018906752","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary heart disease","level":2,"score":0.3100999891757965},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.29010000824928284},{"id":"https://openalex.org/C2994432733","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary disease","level":3,"score":0.2856999933719635},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.27900001406669617},{"id":"https://openalex.org/C2780400711","wikidata":"https://www.wikidata.org/wiki/Q2008344","display_name":"Percutaneous coronary intervention","level":3,"score":0.2743000090122223},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2669000029563904},{"id":"https://openalex.org/C11783203","wikidata":"https://www.wikidata.org/wiki/Q5478027","display_name":"Framingham Risk Score","level":3,"score":0.25609999895095825},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.25440001487731934}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.5281/zenodo.18210791","doi":"https://doi.org/10.5281/zenodo.18210791","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18210791","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.5281/zenodo.18210792","doi":"https://doi.org/10.5281/zenodo.18210792","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18210792","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.5281/zenodo.18210791","doi":"https://doi.org/10.5281/zenodo.18210791","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18210791","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7139965996","https://openalex.org/W2166562946","https://openalex.org/W2050586509","https://openalex.org/W2135283442","https://openalex.org/W4415723060","https://openalex.org/W2762943201","https://openalex.org/W4386253823","https://openalex.org/W1972100885","https://openalex.org/W2323573991","https://openalex.org/W7169567073"],"abstract_inverted_index":{"Coronary":[0],"artery":[1,506],"disease":[2,121],"(CAD)":[3],"is":[4,443],"one":[5,227],"of":[6,36,42,48,60,95,111,173,187,236,287,295,315,333,347,370,379,393,453,477,489,520,565],"the":[7,26,34,49,58,105,146,166,174,188,195,215,296,318,357,375,391,400,475,480,526,547,563,589],"most":[8],"prevalent":[9],"conditions":[10],"affecting":[11],"elderly":[12,116,385,448,501,566],"patients,":[13,144,156],"particularly":[14,508],"those":[15,509],"aged":[16],"75":[17,451],"and":[18,98,108,122,149,184,214,255,278,304,339,360,377,436,485,514,528,537,578,587],"above.":[19],"The":[20,78,100,126,171,207,265,292,368,428,461,518],"study":[21,101,373],"involved":[22],"18":[23,135,237],"patients":[24,31,50,69,117,136,223,243,326,354,386,449,502,567],"with":[25,38,118,201,271,311,335,387,404,456,503,510,568,574],"following":[27,229],"characteristics:":[28],"Age:":[29],"All":[30,68,134],"were":[32,128,151,224],"over":[33,450,467],"age":[35,41],"75,":[37],"a":[39,92,233,251,275,288,394,411,444,457,497,534,558],"mean":[40,79],"79.2":[43],"years.":[44],"Non-Valvular":[45],"Disease:":[46],"None":[47],"had":[51,70],"significant":[52,246,465],"valvular":[53],"heart":[54,348,516],"disease,":[55,507],"which":[56,89,416],"allowed":[57,179],"focus":[59],"treatment":[61,560],"on":[62,194],"coronary":[63,113,120,140,381,408,426,494,505,570],"lesions.":[64,492],"High":[65],"EU":[66,72,80,459,512],"Scores:":[67],"high":[71,75,93,123,202,458,511],"scores,":[73],"indicating":[74],"perioperative":[76,430],"risk.":[77,125],"score":[81],"for":[82,180,342,383,399,406,424,447,482,487,500,530],"this":[83,371,471,551],"cohort":[84],"was":[85,158,198,211,219,269,302,366],"6.3":[86],"\u00b1":[87],"1.2,":[88],"corresponds":[90],"to":[91,103,162,285,344,414,525,583],"risk":[94,419],"surgical":[96,124,418],"mortality":[97],"morbidity.":[99],"aimed":[102],"evaluate":[104],"feasibility,":[106],"safety,":[107],"clinical":[109],"outcomes":[110,439,542],"hybrid":[112,139,380,462],"revascularization":[114,186,382,423,495],"in":[115,190,248,253,258,331,402,470,543,562],"complex":[119,491,504],"results":[127,369,549],"as":[129],"follows:":[130],"Successful":[131],"Hybrid":[132,493],"Revascularization:":[133],"underwent":[137],"successful":[138],"revascularization.":[141],"In":[142,154],"12":[143,300],"both":[145],"LIMA":[147,177,297,397,523],"graft":[148,178,182,298,398,434],"PCI":[150,157,193,283,405,488,529],"performed":[152,200],"simultaneously.":[153],"6":[155],"staged,":[159],"occurring":[160],"1":[161,272,279,313,364],"3":[163],"weeks":[164],"after":[165],"CABG":[167,469],"procedure.":[168],"Technical":[169],"Success:":[170],"use":[172,392],"middle":[175,395,521],"3-costal":[176,396,522],"excellent":[181,433],"patency":[183,293],"adequate":[185],"LAD":[189,401,527],"all":[191],"patients.":[192,545],"non-LAD":[196,289],"lesions":[197,306,409,532],"successfully":[199],"technical":[203],"success":[204],"(100%).Postoperative":[205],"Recovery:":[206],"average":[208,216],"ICU":[209],"stay":[210,218],"2.3":[212],"days,":[213],"hospital":[217],"7.1":[220],"days.":[221],"Most":[222],"discharged":[225],"within":[226],"week":[228],"surgery.Clinical":[230],"Improvement:":[231],"At":[232],"median":[234],"follow-up":[235,358,580],"months":[238,301],"(range":[239],"12-24":[240],"months),":[241],"15":[242],"(83%)":[244],"reported":[245],"improvement":[247,330],"symptoms,":[249],"including":[250],"reduction":[252],"angina":[254],"an":[256],"increase":[257],"functional":[259,337],"capacity.Major":[260],"Adverse":[261],"Cardiac":[262],"Events":[263],"(MACE):":[264],"1-year":[266],"MACE":[267],"rate":[268,294],"5.5%,":[270],"patient":[273,576],"experiencing":[274],"non-fatal":[276],"MI":[277],"requiring":[280,320],"re-intervention":[281],"via":[282],"due":[284],"restenosis":[286,316],"lesion.Graft":[290],"Patency:":[291],"at":[299,363],"100%,":[303],"PCI-treated":[305],"also":[307],"showed":[308,328],"favorable":[309,437],"outcomes,":[310],"only":[312],"case":[314],"(in":[317],"RCA)":[319],"re-intervention.":[321],"Improved":[322],"Functional":[323],"Status:":[324],"16":[325],"(89%)":[327],"marked":[329],"quality":[332],"life,":[334],"better":[336],"status":[338],"reduced":[340],"need":[341,481],"medications":[343],"control":[345],"symptoms":[346],"failure":[349],"or":[350],"angina.Overall":[351],"Survival:":[352],"No":[353],"died":[355],"during":[356],"period,":[359],"overall":[361],"survival":[362],"year":[365],"100%.":[367],"observational":[372,552],"underscore":[374],"safety":[376],"efficacy":[378],"high-risk":[384,544,569],"non-valvular":[388,515],"disease.":[389,517],"Specifically,":[390],"combination":[403,519],"other":[407,531],"offers":[410,464],"tailored":[412],"approach":[413,463],"revascularization,":[415],"minimizes":[417],"while":[420],"providing":[421],"optimal":[422],"critical":[425],"territories.":[427],"low":[429],"complication":[431],"rates,":[432],"patency,":[435],"long-term":[438],"suggest":[440],"that":[441,540],"HCR":[442,554],"viable":[445],"option":[446,561],"years":[452],"age,":[454],"even":[455],"score.":[460],"advantages":[466],"traditional":[468],"population":[472],"by":[473],"reducing":[474],"extent":[476],"surgery,":[478],"limiting":[479],"multiple":[483],"grafts,":[484],"allowing":[486],"less":[490],"represents":[496],"promising":[498],"strategy":[499],"scores":[513],"grafting":[524],"provides":[533],"durable,":[535],"safe,":[536],"effective":[538],"solution":[539],"optimizes":[541],"Given":[546],"encouraging":[548],"from":[550],"study,":[553],"should":[555],"be":[556],"considered":[557],"valuable":[559],"management":[564],"anatomy.":[571],"Further":[572],"studies":[573],"larger":[575],"populations":[577],"longer":[579],"are":[581],"necessary":[582],"confirm":[584],"these":[585],"findings":[586],"refine":[588],"technique.":[590]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-01-13T00:00:00"}
