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Radial artery best for second bypass

Presented By
Prof. M. Gaudino, Weill Cornell Medicine, USA
ACC 2020
After 10 years of follow-up, data showed that using the radial artery rather than the saphenous vein for a second bypass was associated with a statistically significant decrease in the combined rate of death, heart attacks, and revascularisation procedures. Prof. Mario Gaudino (Weill Cornell Medicine, USA) presented the results of the RADIAL study, which was a patient-level combined meta-analysis of 5 clinical trials held in Australia, Korea, Italy, Serbia, and the United Kingdom [1]. The rationale of this combined analysis stems from the fact that the use of >1 arterial grafts for coronary-artery bypass grafting (CABG) has not been widely adopted despite current guidelines recommendations. It is generally accepted that radial artery grafts have a better patency rate compared with saphenous vein grafts. Yet, evidence has shown that patients frequently receive saphenous vein grafts in addition to an internal thoracic artery graft to the left anterior des...

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