The radial artery versus the saphenous vein graft in contemporary CABG: a case-matched study

Use of the internal thoracic artery has been shown to improve outcomes after coronary artery bypass grafting, the same cannot be said of alternative arterial conduits

Gideon Cohen

2002

Scholarcy highlights

  • Use of the internal thoracic artery has been shown to improve outcomes after coronary artery bypass grafting, the same cannot be said of alternative arterial conduits
  • Between March 1994 and March 1999, 2,847 patients underwent isolated coronary artery bypass grafting with a left internal thoracic artery graft, plus saphenous vein grafts
  • Stay in the intensive care unit was shorter in the radial artery group, total hospital stay was similar between groups
  • The incidence of perioperative myocardial infarction was higher in the SVG group
  • Multivariate analysis revealed RA grafting to be protective against early mortality and morbidity and late mortality and morbidity including late reintervention
  • Actuarial freedom from events at 36 months postoperatively was greater in the RA group
  • DR JOHN PUSKAS: Dr Cohen, would you please clarify the following points: the technique used to harvest the radial arteries, the pharmacologic maneuvers used to dilate the artery before implantation, and the therapy you apply in the postoperative period for patients who have received radial arteries

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