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Radial artery grafting

Mario Gaudino1, Francesco Prati, Gianfederico Possati

  • 1Department of Cardiac Surgery, Catholic University, Largo A. Gemelli 1, 00168 Rome, Italy.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed

Insights

The radial artery is increasingly used in coronary artery bypass surgery. This review covers its harvesting, graft characteristics, long-term results, and the use of antispasmodic therapy.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Biology

Background:

  • The radial artery is being re-evaluated as an arterial conduit for myocardial revascularization.
  • Its use offers a complementary option to traditional grafts in coronary surgery.

Purpose of the Study:

  • To review the technical aspects of radial artery harvesting.
  • To discuss the biological and vasoactive properties of radial artery grafts.
  • To summarize mid- to long-term angiographic outcomes and the role of antispasmodic therapy.

Main Methods:

  • Literature review focusing on radial artery grafting in coronary surgery.
  • Analysis of studies detailing harvesting techniques.
  • Evaluation of data on graft patency and patient outcomes.

Main Results:

  • Radial artery harvesting involves specific technical considerations.
  • Grafts exhibit favorable biological and vasoactive characteristics.
  • Mid- to long-term angiographic results are generally positive.
  • Antispasmodic therapy plays a role in graft performance.

Conclusions:

  • The radial artery is a viable and increasingly accepted arterial conduit for myocardial revascularization.
  • Understanding its properties and optimizing its use, including antispasmodic therapy, is crucial for successful outcomes.

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