The Radial Artery: Current Concepts on Its Use in Coronary Artery Revascularization

Rehman, Syed M.; Yi, Gijong; Taggart, David P.

doi:10.1016/j.athoracsur.2013.06.083

Cited by 41 publications

(28 citation statements)

References 70 publications

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“…6 As shown in Table 1, it has now been demonstrated through a variety of techniques that TR procedures cause significant structural damage to the RA wall. Kamiya et al 24 histologically evaluated the distal section of the RA being used as a graft in coronary artery bypass surgery, and compared those from 16 patients who had undergone preoperative TR catheterization (group 1) with 34 patients who had not (group 2).…”

Section: Does Previous Transradial Catheterization Preclude Use Of Thmentioning

confidence: 99%

“…This is an important parameter to consider, because a reduction in diameter would appear to increase the susceptibility of these arteries to turbulent flow and the competitive flow phenomenon when used as CABG conduits. 6 Similarly to vasomotor function, however, it is currently unclear whether the diameter progressively declines postcannulation or recovers over time. Nagai et al 36 examined the intervened RAs of 162 patients who underwent TR catheterization before, early (mean of 2 days), and late (mean of 95 days) after the procedure, and demonstrated a continuous reduction in diameter over time, with the RA diameter significantly reduced late after the procedure compared with early.…”

Section: Impact On Ra Diametermentioning

confidence: 99%

“…4,5 In addition to the established benefits of bilateral internal mammary artery grafting, there also is increasing evidence to support the use of radial artery (RA) grafts in coronary artery bypass surgery. 6 Carpentier and colleagues 7 were the first to describe RA grafting for CABG in 1973, although the group subsequently advised against its use in 1975 because of poor short-term outcomes attributable to spasm 8 and intimal hyperplasia. 9 In 1992, however, Acar and associates 10 discovered incidentally that previous RA grafts were patent at 18 years follow-up, and, since the introduction of pharmacologic prophylaxis and improved surgical techniques to minimize spasm, 11 numerous studies have demonstrated that RA grafts provide excel-…”

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Does Previous Transradial Catheterization Preclude Use of the Radial Artery as a Conduit in Coronary Artery Bypass Surgery?

et al. 2016

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AbstrAct:The radial artery (RA) is a commonly used conduit for coronary artery bypass grafting, and recent studies have demonstrated that it provides superior long-term patency rates to the saphenous vein in most situations. In addition, the RA is also being used with increasing frequency as the access point for coronary angiography and percutaneous coronary interventions. However, there has been concern for many years that these transradial procedures may have a detrimental impact on the function of RA grafts used in coronary artery bypass grafting, and there is now comprehensive evidence that such interventions cause morphologic and functional damage to the artery in situ. Despite this, there remain remarkably few studies investigating the use of previously cannulated RAs as grafts in coronary artery bypass surgery, and there are no clear guidelines on the use of the RA in coronary artery bypass grafting after its catheterization. This article will review concisely the evidence that transradial procedures cause damage to the RA, and discuss the impact this could have on previously cannulated RAs used as coronary artery bypass grafting conduits. On the basis of the evidence assessed, we make a number of recommendations to both surgeons and cardiologists regarding use of the RA in cardiovascular procedures.

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Section: Does Previous Transradial Catheterization Preclude Use Of Thmentioning

confidence: 99%

Section: Impact On Ra Diametermentioning

confidence: 99%

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Does Previous Transradial Catheterization Preclude Use of the Radial Artery as a Conduit in Coronary Artery Bypass Surgery?

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“…7 However, in clinical practice, this technique is commonly underused. 8,9 Moreover, contemporary strategies in percutaneous coronary intervention (PCI) have shifted the referral pattern of CABG toward patients with complex coronary anatomy and multiple comorbidities. 10 Consequently, patency of these vascular conduits may become compromised.…”

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confidence: 99%

Symptomatic graft failure and impact on clinical outcome after coronary artery bypass grafting surgery: Results from the Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease registry

Shavadia

Norris

Graham

et al. 2015

American Heart Journal

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“…In comparison, the radial artery has a relatively thick media and a tendency for distal intimal hyperplasia [9]. Further differences can be observed with the SVG.…”

Section: Introductionmentioning

confidence: 75%

Bilateral versus Single Internal-Thoracic-Artery Grafts

2017

N Engl J Med

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Purpose of Review Several advances have been made in recent years to improve outcome for patients with coronary artery disease. One of the most debated topics regarding surgical treatment with coronary artery bypass grafting (CABG) is graft selection. This review aims to present the current status and scientific evidence for bilateral internal thoracic artery (BITA) grafting. Recent Findings Observational studies and pooled analyses suggest that BITA grafting is associated with improved survival. Early results from a large randomized controlled trial report safety and efficacy of the method. The improved survival might be amplified in select groups, but with an increase in sternal wound-related complications. The benefit of BITA grafts seems to remain to an approximate age of 69 years at surgery. Summary CABG with BITA grafts is likely associated with improved long-term survival at a cost of an increase in sternal wound infections. Ten-year results from the Arterial Revascularization Trial are expected in 2018, providing the best evidence regarding the method yet. Early results show it is a safe method in most patient categories considerable for CABG.

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The Radial Artery: Current Concepts on Its Use in Coronary Artery Revascularization

Cited by 41 publications

References 70 publications

Does Previous Transradial Catheterization Preclude Use of the Radial Artery as a Conduit in Coronary Artery Bypass Surgery?

Does Previous Transradial Catheterization Preclude Use of the Radial Artery as a Conduit in Coronary Artery Bypass Surgery?

Symptomatic graft failure and impact on clinical outcome after coronary artery bypass grafting surgery: Results from the Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease registry

Bilateral versus Single Internal-Thoracic-Artery Grafts

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