Key result
Internal thoracic artery remains the standard CABG conduit over radial and gastroepiploic arteries due to morphology.
The internal thoracic artery remains the optimal conduit for coronary artery bypass grafting due to its elastic properties and resistance to atherosclerosis, with the radial and right gastroepiploic arteries serving as the best alternatives.
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Optimal conduit selection requires morphological similarity to target vessels; leaves open prospective trials to validate impact on patency.
Martínez‐González et al. (2017) conducted a review in Coronary artery disease requiring CABG. Vascular conduits (ITA, RA, RGEA, SV, UA) was evaluated. The internal thoracic artery is the standard choice for coronary bypass surgery due to its morphological characteristics, with the radial and right gastroepiploic arteries serving as the second and third best options.
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