The 3 R's: The radial artery, the right internal thoracic artery, and the race for the second best

Deb, Saswata; Fremes, Stephen E.

doi:10.1016/j.jtcvs.2016.06.004

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…In addition, much of the vein's outermost layer, the adventitia, is also removed or damaged. In C artery (RA) [8][9][10] . Apart from the structural differences between arteries and veins, it is noteworthy that, in general, LITA and RA are harvested in such a way that the pedicle of the surrounding tissue remains intact.…”

Section: Saphenous Vein Structure and Vascular Damagementioning

confidence: 99%

Twenty-Five Years of No-Touch Saphenous Vein Harvesting for Coronary Artery Bypass Grafting: Structural Observations and Impact on Graft Performance

Samano¹,

Souza²,

Pinheiro³

et al. 2020

Braz J Cardiovasc Surg

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The saphenous vein is the most common conduit used in coronary artery bypass grafting (CABG) yet its failure rate is higher compared to arterial grafts. An improvement in saphenous vein graft performance is therefore a major priority in CABG. No-touch harvesting of the saphenous vein is one of the few interventions that has shown improved patency rates, comparable to that of the left internal thoracic artery. After more than two decades of no-touch research, this technique is now recognized as a Class IIa recommendation in the 2018 European Society of Cardiology and the European Association for Cardio-Thoracic Surgery guidelines on myocardial revascularization. In this review, we describe the structural alterations that occur in conventional versus no-touch saphenous vein grafts and how these changes affect graft patency. In addition, we discuss various strategies aimed at repairing saphenous vein grafts prepared at conventional CABG.

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Section: Saphenous Vein Structure and Vascular Damagementioning

confidence: 99%

Twenty-Five Years of No-Touch Saphenous Vein Harvesting for Coronary Artery Bypass Grafting: Structural Observations and Impact on Graft Performance

Samano¹,

Souza²,

Pinheiro³

et al. 2020

Braz J Cardiovasc Surg

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“…The radial artery has also been widely investigated as a potential conduit for CABG. Unfortunately, the results of these investigations have been mixed at best, and contradictory at worst (21). For example, the Radial Artery Patency Study (RAPS) demonstrated superior rates of patency at 1-year for the radial artery as compared to saphenous vein grafts (22), but a VA Cooperative RCT found no difference in 1-year patency between these same options (23).…”

Section: Multiple Arterial Graftingmentioning

confidence: 99%

Coronary artery bypass grafting—fifty years of quality initiatives since Favaloro

Squiers¹

2018

Ann. Cardiothorac. Surg.

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Coronary artery bypass grafting (CABG) remains one of the most commonly performed major surgical procedures worldwide and the most common procedure performed by cardiac surgeons. Rene Favaloro is widely credited with recognizing the true potential of CABG and subsequently popularizing the technique in a broad manner. Since the era of Favaloro in the late 1960s, the evolution of CABG can be understood through a series of quality initiatives that have defined which patients can benefit from the procedure and via which technique(s) they will derive the greatest benefit. Herein, we will review some of the key developments in CABG over the last 50 years with a focus on ongoing quality initiatives that will continue to refine the optimal applications and outcomes of CABG for the next 50 years.

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“…However, because BITA grafting was also associated with increased risk of DSWI, we recommended that it be used in diabetic patients whose risk of DSWI is low. The RA is another commonly used arterial graft conduit that has been shown to be associated with better clinical and angiographic outcomes than vein grafts [13,14]. Therefore, we sought to determine in diabetic patients whether SITA plus RA grafting yields outcomes similar to those of patients who undergo BITA grafting.…”

Section: Introductionmentioning

confidence: 99%

Similar Outcomes in Diabetes Patients After Coronary Artery Bypass Grafting With Single Internal Thoracic Artery Plus Radial Artery Grafting and Bilateral Internal Thoracic Artery Grafting

Raza

Blackstone

Houghtaling

et al. 2017

The Annals of Thoracic Surgery

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The 3 R's: The radial artery, the right internal thoracic artery, and the race for the second best

Abstract: We discuss the meta-analysis performed by Benedetto and colleagues of propensitymatched observational studies comparing the right ITA versus the radial artery as the second arterial conduit.

Cited by 4 publications

References 24 publications

Twenty-Five Years of No-Touch Saphenous Vein Harvesting for Coronary Artery Bypass Grafting: Structural Observations and Impact on Graft Performance

Twenty-Five Years of No-Touch Saphenous Vein Harvesting for Coronary Artery Bypass Grafting: Structural Observations and Impact on Graft Performance

Coronary artery bypass grafting—fifty years of quality initiatives since Favaloro

Similar Outcomes in Diabetes Patients After Coronary Artery Bypass Grafting With Single Internal Thoracic Artery Plus Radial Artery Grafting and Bilateral Internal Thoracic Artery Grafting

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