Portal de Periódicos da CAPES

The radial artery for coronary artery bypass grafting

2005; National Library of Serbia; Volume: 52; Issue: 3 Linguagem: Inglês

10.2298/aci0503011n

2406-0887

Duško Nežić, Predrag Milojević, M. Ćirković, Aleksandar Knežević, Aleksandra Novaković, L.J. Gojkovic-Bukarica, Miomir Jović, Bosko Djukanovic,

Coronary Interventions and Diagnostics

Coronary artery bypass grafting (CABG) is the standard surgical procedure for the treatment of advanced coronary artery disease. CABG surgery has been demonstrated to improve symptoms and, in specific subgroups of patients, to prolong life. Despite its success, the long-term outcome of coronary bypass surgery is strongly influenced by the fate of the vascular conduits used. Previous long-term studies have shown unsatisfactory patency of saphenous vein grafts used for myocardial revascularisation, compared with internal mammary artery grafts. Recently, the use of radial artery for CABG has enjoyed a revival, on the basis of the belief that it will help improving long-term results of coronary operations. The recent reports of encouraging mid-term and long-term patency rates of the radial artery, supports its continued use as a bypass conduit. In this paper, we review the current knowledge about the radial artery as a bypass graft, with special emphasis on the clinical results.