Journal
JOURNAL OF CLINICAL MEDICINE
Volume 12, Issue 7, Pages -Publisher
MDPI
DOI: 10.3390/jcm12072516
Keywords
coronary artery bypass grafting; total arterial revascularization; multiple arterial grafting; radial artery; internal mammary artery
Categories
Ask authors/readers for more resources
Coronary surgery provides better long-term outcomes than percutaneous coronary intervention. The use of multiple arterial revascularization or exclusive arterial revascularization has been reported to improve late survival.
Coronary surgery provides better long-term outcomes than percutaneous coronary intervention. Conventional practice is to use a single arterial conduit supplemented by saphenous vein grafts. The use of multiple arterial revascularization (MAG), or exclusive arterial revascularization (TAR), however, is reported as having improved late survival. Survival is a surrogate for graft failure that may lead to premature death, and improved survival reflects fewer graft failures in the non-conventional strategy groups. The reasons for not using MAG or TAR may be due to perceived technical difficulties, a lack of definitive large-scale randomized evidence, a lack of confidence in arterial conduits, or resources or time constraints. Most people consider radial artery (RA) grafting to be new, with use representing approximately 2-5% worldwide, despite select centers reporting routine use in most patients for decades with improved results. In conclusion, the current body of evidence supports more extensive use of total and multiple arterial revascularization procedures in the absence of contraindications.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available