Is radial artery used for CABG?

The radial artery graft is considered the second option as a conduit after the left internal mammary graft in coronary artery bypass grafting. Multiple studies have shown better patency rate and survival with radial artery graft as compared to saphenous vein graft.

Which artery is most commonly used for bypass graft?

Internal thoracic arteries (also called ITA grafts or internal mammary arteries [IMA]) are the most common bypass grafts used. They are the standard of care, and the goal is to use these arteries for every patient who has isolated coronary artery bypass surgery.

What medication is used for coronary artery bypass graft?

Antiplatelet therapy – Aspirin is an antiplatelet medication that is given to help prevent the formation of blood clots that can block either your coronary arteries or coronary bypass graft. It is usually recommended indefinitely.

Which artery is used for grafting?

Internal thoracic artery As the most commonly used bypass grafts, the internal thoracic (mammary) artery (ITA) grafts show the best long-term results. In most cases, the artery is left intact at its origin, with the opposite end sewn to the coronary artery below the site of the blockage.

Are radial artery bypass grafts better than saphenous vein grafts?

The use of radial-artery grafts for coronary-artery bypass grafting (CABG) may result in better postoperative outcomes than the use of saphenous-vein grafts.

How do you harvest radial artery?

Open approach for radial artery harvest

1. A curvilinear skin incision, tailored to the edge of the brachioradialis muscle, extends from 1 cm distal to the elbow crease to 1 cm proximal to the wrist crease (Figure 1).
2. Once through the skin, superficial veins are either retracted or divided between clips.

What artery is the widow maker?

The widow-maker is a massive heart attack that occurs when the left anterior descending artery (LAD) is totally or almost completely blocked. The critical blockage in the artery stops, usually a blood clot, stops all the blood flow to the left side of the heart, causing the heart to stop beating normally.

How long does nerve pain last after open heart surgery?

Protracted postoperative pain or unpleasant sensations, usually subsiding by 4 months, were reported by recollection by 81% of the subjects. Overall, the prevalence of persistent pain in those with definite nerve damage 5 to 28 months after surgery was 15%.

Which artery is the gold standard for CABG?

The internal mammary artery is the gold-standard bypass conduit and is associated with significant improvement in short and long-term outcomes and survival of patients.

Why do they use the saphenous vein?

The saphenous vein graft has the advantage of being long and easy to handle, and has been found to require less transfusion compared to the bilateral internal mammary artery. The issue with this graft is that the patency rate is not as good as that of the left internal mammary artery.

How long do saphenous vein grafts last?

However, its durability and longevity are not ideal. One year after coronary surgery, 10% to 20% of saphenous vein grafts fail. From 1 to 5 years, an additional 5% to 10% fail, and from 6 to 10 years, an additional 20% to 25% fail.

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