TY - JOUR
T1 - Saphenous vein graft vs. radial artery graft searching for the best second coronary artery bypass graft
AU - Al-Sabti, Hilal Ali
AU - Al Kindi, Adil
AU - Al-Rasadi, Khalid
AU - Banerjee, Yajnavalka
AU - Al-Hashmi, Khamis
AU - Al-Hinai, Ali
PY - 2013/10
Y1 - 2013/10
N2 - Coronary artery bypass grafting (CABG) was first used in the late 1960s. This revolutionary procedure created hope among ischemic heart disease patients. Multiple conduits are used and the golden standard is the left internal mammary artery to the left anterior descending artery. Although all approaches were advocated by doctors, the use of saphenous vein grafts became the leading approach used by the majority of cardiac surgeons in the 1970s. The radial artery graft was introduced at the same time but was not as prevalent due to complications. It was reintroduced into clinical practice in 1989. The procedure was not well received initially but it has since shown superiority in patency as well as long-term survival after CABG. This review provides a summary of characteristics, technical features and patency rates of the radial artery graft in comparison with venous conduits. Current studies and research into radial artery grafts and saphenous vein grafts for CABG are explored. However, more studies are required to verify the various findings of the positive effects of coronary artery bypass grafting with the help of radial arteries on mortality and long-lasting patency.
AB - Coronary artery bypass grafting (CABG) was first used in the late 1960s. This revolutionary procedure created hope among ischemic heart disease patients. Multiple conduits are used and the golden standard is the left internal mammary artery to the left anterior descending artery. Although all approaches were advocated by doctors, the use of saphenous vein grafts became the leading approach used by the majority of cardiac surgeons in the 1970s. The radial artery graft was introduced at the same time but was not as prevalent due to complications. It was reintroduced into clinical practice in 1989. The procedure was not well received initially but it has since shown superiority in patency as well as long-term survival after CABG. This review provides a summary of characteristics, technical features and patency rates of the radial artery graft in comparison with venous conduits. Current studies and research into radial artery grafts and saphenous vein grafts for CABG are explored. However, more studies are required to verify the various findings of the positive effects of coronary artery bypass grafting with the help of radial arteries on mortality and long-lasting patency.
KW - Arterial grafts
KW - Coronary artery bypass grafting (CABG)
KW - RA graft long-term outcome
KW - Radial artery graft patency
KW - Radial artery graft spasm
KW - Saphenous vein vs. radial artery
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U2 - 10.1016/j.jsha.2013.06.001
DO - 10.1016/j.jsha.2013.06.001
M3 - Review article
C2 - 24198449
AN - SCOPUS:84884292141
SN - 1016-7315
VL - 25
SP - 247
EP - 254
JO - Journal of the Saudi Heart Association
JF - Journal of the Saudi Heart Association
IS - 4
ER -