Journal article

Arterial Grafts for Coronary Bypass A Critical Review After the Publication of ART and RADIAL

Mario Gaudino, Faisal G Bakaeen, Umberto Benedetto, Antonino Di Franco, Stephen Fremes, David Glineur, Leonard N Girardi, Juan Grau, John D Puskas, Marc Ruel, Derrick Y Tam, David P Taggart, Charalambos Antoniades, Stephen E Fremes, Carlo Patrono, Thomas A Schwann, James Tatoulis, Robert F Tranbaugh

Circulation | LIPPINCOTT WILLIAMS & WILKINS | Published : 2019

Abstract

Observational and randomized evidence shows that arterial grafts have better patency rates than saphenous vein grafts (SVGs) in coronary artery bypass grafting. Observational studies suggest that the use of multiple arterial grafts is associated with longer postoperative survival, but this must be interpreted in the context of treatment allocation bias and hidden confounders intrinsic to the study designs. Recently, a pooled analysis of 6 randomized trials comparing the radial artery with the SVG as the second conduit and the largest randomized trial comparing the use of single and bilateral internal thoracic arteries have provided apparently divergent results about a clinical benefit with t..

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