What is the clinical evidence from this study?

Study design: Review. Population: Coronary artery disease requiring bypass surgery. Intervention: Conduits for coronary artery bypass surgery.

What question did this study set out to answer?

To evaluate current literature on coronary artery bypass conduits and determine which secondary conduit provides superior long-term outcomes alongside the left internal mammary artery.

March 24, 2011Journal of Cardiovascular Medicine

Conduits for coronary artery bypass surgery: the quest for second best

View Full Paper

Ask AI

Bookmark

Key result

Second-best CABG conduit choice lacks clear consensus among radial artery, LSV, and BIMA.

Why the study?

What is the optimal second conduit for coronary artery bypass surgery after the left internal mammary artery?

Population

Patients undergoing coronary artery bypass surgery

Design

Review

Authors

SBSean O. BelloHammersmith Hospital EPEdward W.K. PengRoyal Hospital for Children PSPradip SarkarICAR Research Complex for NEH Region

Discussion

Member takes

Implication

Current literature lacks a clear consensus on the best second conduit for CABG, highlighting the need for results from ongoing trials like ART and RAPCO to guide future practice.

Key Points

To evaluate current literature on coronary artery bypass conduits and determine which secondary conduit provides superior long-term outcomes alongside the left internal mammary artery.
Conducted a comprehensive literature review assessing the clinical outcomes and graft patency rates of various coronary bypass conduits, including the radial artery, long saphenous vein, and bilateral internal mammary arteries.
Evaluated surgical approaches comparing total arterial revascularization against traditional combinations using saphenous vein grafts.
Left internal mammary artery remains the gold-standard bypass conduit due to unmatched patency, but definitive consensus on the second-best conduit remains lacking.
Arterial grafts, including the radial artery and bilateral internal mammary arteries, show superior outcomes primarily when bypassed to vessels with severe stenosis, while modern saphenous vein graft performance continues to improve.
Ongoing large-scale randomized trials, notably the Arterial Revascularization Trial and the Radial Artery Patency and Clinical Outcomes trial, are expected to provide definitive guidance.

Structured PICO

What is the optimal second conduit for coronary artery bypass surgery after the left internal mammary artery?

Population

Patients undergoing coronary artery bypass surgery

Intervention

Second-best conduits for CABG (radial artery, bilateral internal mammary artery, or long saphenous vein)

Outcome

Long-term event-free outcomes and graft patency

Current literature lacks a clear consensus on the best second conduit for CABG, highlighting the need for results from ongoing trials like ART and RAPCO to guide future practice.

Cite This Study

Bello et al. (2011) conducted a review in Coronary artery disease requiring bypass surgery. Conduits for coronary artery bypass surgery was evaluated. An extensive review of current literature reveals an absence of clear consensus regarding whether the radial artery, long saphenous vein, or bilateral internal mammary artery is the second best conduit for coronary artery bypass surgery.

synapsesocial.com/papers/6aa3be109fb7966fc9749455 https://doi.org/10.2459/jcm.0b013e328345a20d

Topics

Coronary artery disease

View Full Paper

Ask AI

Bookmark

Implication

Current literature lacks a clear consensus on the best second conduit for CABG, highlighting the need for results from ongoing trials like ART and RAPCO to guide future practice.

Conduits for coronary artery bypass surgery: the quest for second best

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Conduits for coronary artery bypass surgery: the quest for second best

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider