Operative Outcomes of Multiple-Arterial Versus Single-Arterial Coronary Bypass Grafting

Abstract

MABG in the United States is associated with OM comparable to SABG and increased DSWI risk with BITA-MABG. Our findings highlight the importance of surgeon and institutional experience and careful patient selection for BITA-MABG. Our short-term results should not in any way dissuade the use of MABG, given its well-established long-term survival advantage.

Short-term Assessment of Radial Artery Grafts With Multidetector Computed Tomography

“…Despite of the recommendation of current guidelines to replace the SVG with the RA in patients with highdegree coronary artery stenosis [7], few surgeons were willing to choose the RA as their preferred materials; in addition to a LIMA to the left anterior descending artery (LAD), the majority of patients received the SVG. A report from STS ACSD showed that RA grafts were used in only 6.5% of all primary isolated CABG patients in the United States between 2004 to 2015, with a gradual decrease [8]. There are several reasons for its limited utilization such as few studies reporting a mean follow-up of over 10 years and possible harm to the forearm circulation.…”

Arterial grafting for coronary revascularisation and the illusive search for truth

“…Virtually every study to date, including the ART trial, has reported equivalent perioperative mortality with SITA versus BITA grafting. Yet recent report from the STS database has shown a significantly increased perioperative mortality with BITA versus SITA grafting 8. Whether this relates to operator experience, patient selection or some other factors will require further investigation.…”

Commentary: Composite internal thoracic artery–saphenous vein grafts for coronary bypass: Can the two be used together?

“…In a recent report on close to 1.5 million CABG operations, the rates of bilateral ITA and radial artery use in the United States were 4.9% and 6.5%, respectively. 3 Central considerations for low adoption of multiple arterial grafts include increased technical difficulty and concerns with greater complication rates.…”