Key result
A stepwise approach to building experience with multiple arterial grafts allows successful implementation of this technique into routine coronary surgery practice while mitigating operative risk.
Implementing a stepwise approach to multiple arterial grafting in CABG can help surgical programs safely adopt the technique and improve patient outcomes.
May support stepwise adoption of multiple arterial grafting in CABG programs; leaves open need for randomized confirmation of outcomes.
Observational evidence shows that the use of multiple arterial grafts (MAG) is associated with longer postoperative survival and improved clinical outcomes. The current European Society of Cardiology/European Association for Cardio-Thoracic Surgery Guidelines on myocardial revascularization recommend the use of MAG in appropriate patients. However, a significant volume-to-outcome relationship exists for MAG, and lack of sufficient experience is associated with increased operative risk. A stepwise approach to building experience with MAG allows successful implementation of this technique into routine coronary surgery practice.
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Gaudino et al. (2020) conducted a review in Myocardial revascularization. Multiple arterial grafts (MAG) was evaluated. A stepwise approach to building experience with multiple arterial grafts allows successful implementation of this technique into routine coronary surgery practice while mitigating operative risk.
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