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The radial artery: Results and technical considerations

Jeremy R Leonard1, Ahmed A Abouarab1, Derrick Y Tam2

  • 1Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.

Journal of Cardiac Surgery
|February 7, 2018
PubMed

Insights

The radial artery (RA) is a superior graft for coronary artery bypass grafting (CABG), showing better patency than saphenous vein grafts. Careful planning ensures optimal outcomes when using the RA as a second conduit.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Grafting

Background:

  • The radial artery (RA) is increasingly utilized as a conduit in coronary artery bypass grafting (CABG).
  • Technical considerations specific to RA use in CABG require careful review.

Purpose of the Study:

  • To review the efficacy of the radial artery (RA) compared to other conduits in CABG.
  • To discuss technical aspects of using the RA in CABG surgery.

Main Methods:

  • A comprehensive literature search was conducted in PubMed up to December 2017.
  • The search focused on comparative efficacy and technical considerations of RA use in CABG.

Main Results:

  • The RA demonstrated superior graft patency compared to saphenous vein grafts in multiple randomized trials.
  • Observational studies linked RA use to improved clinical outcomes.
  • The RA is a strong contender against the right internal thoracic artery as the second-best arterial conduit.

Conclusions:

  • The radial artery (RA) is an excellent option for CABG when used as a second conduit.
  • Meticulous preoperative planning and attention to surgical technique are crucial for successful RA grafting.
Abstract

Keywords:
cardiovascular researchclinical reviewcoronary artery disease

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