Radial Artery Used as Conduit for Coronary Artery Bypass Grafting
It was in 1989 that we first reported on the use of the radial artery (RA) as a secondary arterial graft for coronary artery bypass grafting (CABG). Nevertheless, discrepancies in clinical endpoints between the RA and alternative conduits have been reported in consecutive randomised trials. With ove...
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MDPI AG
2025-01-01
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| Series: | Surgeries |
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| Online Access: | https://www.mdpi.com/2673-4095/6/1/6 |
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| author | Francesco Nappi Aubin Nassif Thibaut Schoell Christophe Acar |
| author_facet | Francesco Nappi Aubin Nassif Thibaut Schoell Christophe Acar |
| author_sort | Francesco Nappi |
| collection | DOAJ |
| description | It was in 1989 that we first reported on the use of the radial artery (RA) as a secondary arterial graft for coronary artery bypass grafting (CABG). Nevertheless, discrepancies in clinical endpoints between the RA and alternative conduits have been reported in consecutive randomised trials. With over fifty years of accumulated practice in RA bypass grafting, we sought to identify the second-best option for CABG by reviewing the literature. A consistently successful second-best conduit for CABG has been demonstrated using the radial artery. Compared to saphenous vein grafts, the findings indicate improved outcomes and better patency results. Furthermore, it has been demonstrated to be a safe and effective conduit in the territory of the right coronary artery. The lack of available literature and the scarcity of similar case series restrict the application of the gastroepiploic artery. After five decades of utilisation, it can be unequivocally stated that the radial artery is the optimal conduit for coronary bypass surgery following the left internal thoracic artery to the left anterior descending artery. |
| format | Article |
| id | doaj-art-bb3edff58e9a45b2b65429a4c497e8cf |
| institution | Kabale University |
| issn | 2673-4095 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj-art-bb3edff58e9a45b2b65429a4c497e8cf2025-08-20T03:43:57ZengMDPI AGSurgeries2673-40952025-01-0161610.3390/surgeries6010006Radial Artery Used as Conduit for Coronary Artery Bypass GraftingFrancesco Nappi0Aubin Nassif1Thibaut Schoell2Christophe Acar3Department of Cardiac Surgery, Centre Cardiologique du Nord, 93200 Saint-Denis, FranceDepartment of Cardiac Surgery, Centre Cardiologique du Nord, 93200 Saint-Denis, FranceDepartment of Cardiac Surgery, Centre Cardiologique du Nord, 93200 Saint-Denis, FranceDepartment of Cardiac Surgery, La Pitié Salpetriere Hospital, 75013 Paris, FranceIt was in 1989 that we first reported on the use of the radial artery (RA) as a secondary arterial graft for coronary artery bypass grafting (CABG). Nevertheless, discrepancies in clinical endpoints between the RA and alternative conduits have been reported in consecutive randomised trials. With over fifty years of accumulated practice in RA bypass grafting, we sought to identify the second-best option for CABG by reviewing the literature. A consistently successful second-best conduit for CABG has been demonstrated using the radial artery. Compared to saphenous vein grafts, the findings indicate improved outcomes and better patency results. Furthermore, it has been demonstrated to be a safe and effective conduit in the territory of the right coronary artery. The lack of available literature and the scarcity of similar case series restrict the application of the gastroepiploic artery. After five decades of utilisation, it can be unequivocally stated that the radial artery is the optimal conduit for coronary bypass surgery following the left internal thoracic artery to the left anterior descending artery.https://www.mdpi.com/2673-4095/6/1/6coronary artery bypass graftingradial arteryinternal thoracic arterysaphenous-vein graftssequential revascularisation |
| spellingShingle | Francesco Nappi Aubin Nassif Thibaut Schoell Christophe Acar Radial Artery Used as Conduit for Coronary Artery Bypass Grafting Surgeries coronary artery bypass grafting radial artery internal thoracic artery saphenous-vein grafts sequential revascularisation |
| title | Radial Artery Used as Conduit for Coronary Artery Bypass Grafting |
| title_full | Radial Artery Used as Conduit for Coronary Artery Bypass Grafting |
| title_fullStr | Radial Artery Used as Conduit for Coronary Artery Bypass Grafting |
| title_full_unstemmed | Radial Artery Used as Conduit for Coronary Artery Bypass Grafting |
| title_short | Radial Artery Used as Conduit for Coronary Artery Bypass Grafting |
| title_sort | radial artery used as conduit for coronary artery bypass grafting |
| topic | coronary artery bypass grafting radial artery internal thoracic artery saphenous-vein grafts sequential revascularisation |
| url | https://www.mdpi.com/2673-4095/6/1/6 |
| work_keys_str_mv | AT francesconappi radialarteryusedasconduitforcoronaryarterybypassgrafting AT aubinnassif radialarteryusedasconduitforcoronaryarterybypassgrafting AT thibautschoell radialarteryusedasconduitforcoronaryarterybypassgrafting AT christopheacar radialarteryusedasconduitforcoronaryarterybypassgrafting |