Radial Artery Versus Saphenous Vein Grafts in Coronary Artery Bypass Surgery: a Literature Review.

Abstract:

PURPOSE OF REVIEW:Coronary artery bypass grafting is a preferred strategy for complete coronary revascularization in patients who have multi-vessel coronary artery disease, left ventricular dysfunction, and/or diabetes. Both arterial (internal thoracic artery/radial artery) and venous grafts are utilized to bypass the obstruction in native vessels. Despite having radial arterial grafts as a preferred second conduit for bypass, venous grafts are more commonly used. RECENT FINDINGS:We review the existing literature and report the preferred conduit based on a recently published meta-analysis of 6 randomized controlled trials. The analysis concluded that radial artery grafts are associated with fewer adverse cardiac events and better graft patency at 5 years of follow-up. Although saphenous vein grafting is the most commonly used conduit in addition to ITA, current data suggests that total arterial bypass (using RA conduit in addition to ITA) may be the better strategy. Both the US and European consensus guidelines advocate for the use of arterial over SV grafting for most patients.

journal_name

Curr Cardiol Rep

authors

Virk HUH,Lakhter V,Ahmed M,O' Murchu B,Chatterjee S

doi

10.1007/s11886-019-1112-1

subject

Has Abstract

pub_date

2019-03-22 00:00:00

pages

36

issue

5

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-019-1112-1

journal_volume

21

pub_type

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