Key result
There is currently no consensus on the most effective configuration of arterial grafts for coronary artery bypass grafting due to a lack of sufficient evidence and procedural complexity.
This review highlights the ongoing debate and lack of consensus regarding the optimal configuration of internal thoracic artery grafts in coronary artery bypass grafting.
Highlights The article outlines the modern concept of arterial myocardial revascularization, presents the most promising directions for development of coronary surgery, and describes the results and prospects of the clinical application of autogenous arterial grafts using two internal thoracic arteries in various graft configuration and in situ, making it possible to assess the effectiveness of the procedure. Abstract There are many approaches to coronary artery bypass grafting with the internal thoracic arteries: the use of I and Y configuration, in situ grafts, and composite grafts. However, there is no consensus on the most effective type of configuration of arterial grafts. This is due to the complexity of making the composite Y graft, determination of the risk factor, and the lack of sufficient evidence regarding the main approaches to bypass grafting with autogenous arterial grafts.
No takes yet. Share an insight, caveat, or question.
Sabetov et al. (2023) conducted a review in Coronary artery disease requiring myocardial revascularization. Arterial grafts (Y-composite grafts and in situ internal thoracic artery conduits) was evaluated. There is currently no consensus on the most effective configuration of arterial grafts for coronary artery bypass grafting due to a lack of sufficient evidence and procedural complexity.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: