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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
Summary
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.
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