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Updated: Jun 21, 2026
07:30
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
[Radial artery in myocardial revascularization].
Aleksandar Redzek1, Zivojin Jonjev
1Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica, Klinika za kardiovaskularnu hirurgiju.
Medicinski Pregled
|August 5, 2009
Summary
Radial artery grafts are increasingly used for coronary artery bypass, but optimal use requires careful selection of target vessels with severe stenosis (>75%). This review examines current practices and literature data for radial artery graft utilization.
Area of Science:
- Cardiovascular Surgery
- Vascular Grafting
- Interventional Cardiology
Background:
- The radial artery has seen a resurgence as a coronary artery bypass graft conduit.
- Controversies persist regarding optimal harvest techniques, antispasm protocols, and target vessel selection.
- Graft patency is strongly linked to the degree of native vessel stenosis.
Purpose of the Study:
- To review the current status and best practices for using radial artery grafts in coronary artery bypass surgery.
- To analyze factors influencing radial artery graft patency.
- To provide recommendations for target vessel selection based on stenosis severity.
Main Methods:
- Literature review of recently published data.
- Analysis of personal clinical experience with radial artery grafts.
- Evaluation of studies focusing on radial artery graft harvest and outcomes.
Main Results:
- Radial artery graft patency is significantly higher in target vessels with high-grade stenosis (>75%).
- Proper graft harvest and antispasm protocols are crucial for successful outcomes.
- Selection of appropriate target vessels is paramount for long-term graft function.
Conclusions:
- Radial artery grafts are a viable and effective option for coronary artery bypass.
- Preferential use in target vessels with >75% stenosis maximizes graft patency.
- Further research and standardization of techniques will enhance radial artery graft utilization.
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