June 5, 2018

Radial-artery vs saphenous-vein grafts in CABG surgery

By: Judy Mathias
Share

Editor’s Note

In this study, the use of radial-artery grafts for coronary artery bypass grafting (CABG) resulted in a lower rate of cardiac adverse events and a higher rate of patency at 5 years than saphenous-vein grafts.

A total of 1,036 patients (534 radial artery, 502 saphenous vein) from six trials were analyzed. The use of radial-artery grafts was linked to a significantly lower risk of the composite outcome of death, myocardial infarction, or repeat revascularization (25 vs 39 events per 1,000 patient years) and with a significantly lower risk of two individual components−myocardial infarction (6 vs 9 per 1,000 patient years) and repeat revascularization (9 vs 17 per 1,000 patient years)−as well as higher rates of angiographic patency at a mean follow-up of 5 years (19 vs 46 events of graft occlusion per 1,000 patient years).

The incidence of death from any cause was similar between radial-artery and saphenous-vein grafts (15 and 17 per 1,000 patient years).

Read More >>

Sign Up For OR a.m.
Sign up for the free OR a.m. eLetter to get news like this in your inbox every morning!

OR Manager Jobs
Upcoming Webinars
Live chat by BoldChat