July 1, 2013
Current status of arterial grafts for coronary artery bypass grafting.
Why the study?
Does the use of multiple arterial grafts improve graft patency and clinical outcomes compared to a single arterial graft with vein grafts in patients undergoing coronary artery bypass grafting?
Population
Patients undergoing coronary artery bypass grafting for multivessel coronary artery disease
Comparison
Multiple arterial grafts vs Single arterial conduit (with vein grafts)
Design
Review
Authors
Discussion
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Member takes
Implication
May support multiple arterial grafting in CABG; extends observational patency data but leaves randomized outcome trials open.
Structured PICO
Does the use of multiple arterial grafts improve graft patency and clinical outcomes compared to a single arterial graft with vein grafts in patients undergoing coronary artery bypass grafting?
P
Population
Patients undergoing coronary artery bypass grafting for multivessel coronary artery disease
I
Intervention
Multiple arterial grafts (second internal mammary artery and/or radial artery graft)
C
Comparator
Single arterial conduit (with vein grafts)
O
Outcome
Graft patency and clinical outcomes
This review highlights the growing body of evidence supporting the use of multiple arterial grafts during CABG to improve long-term graft patency and clinical outcomes.
Cite This Study
David P. Taggart (2013) studied this question.