Key result
The left internal mammary artery remains the gold standard conduit for bypassing the left anterior descending artery, while the choice of second-best graft depends on anatomical, functional, and clinical factors.
Population
Patients with multi-vessel coronary artery disease undergoing coronary artery bypass grafting (CABG)
Design
Review
Authors
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Heart team discussion of second-conduit choice may improve CABG outcomes; leaves open optimal arterial versus vein strategy pending further RCTs.
This review emphasizes the need for careful conduit selection in CABG and advocates for greater involvement of cardiologists in the heart team's surgical decision-making process.
Cuminetti et al. (2016) conducted a review in Coronary artery disease. Arterial and venous conduits for CABG was evaluated. The left internal mammary artery remains the gold standard conduit for bypassing the left anterior descending artery, while the choice of second-best graft depends on anatomical, functional, and clinical factors.
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