14 Jul CABG: Long-Term Outcomes Using Radial Artery vs Saphenous Vein

MedicalResearch.com Interview with:

Dr. Gaudino

Mario Fl Gaudino MD
Professor of Cardiothoracic Surgery
Department of Cardiothoracic Surgery
Weill Cornell Medicine 

MedicalResearch.com: What is the background for this study?

Response: The radial artery is currently used in less than 10% of CABG procedures in the US. 

MedicalResearch.com: What are the main findings?

Response: The JAMA paper provides convincing evidence that the use of the radial artery rather than the saphenous vein to complement the internal thoracic artery for CABG is associated with improved long-term outcomes. 

MedicalResearch.com: What should readers take away from your report?

Response: If technically possible, the radial artery should be used rather than the saphenous vein for CABG.

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: This finding need to be confirmed in large RCTs. The ongoing ROMA trial will test the arterial grafts hypothesis in 4300 patients

No disclosures

Citation:

Gaudino M, Benedetto U, Fremes S, et al. Association of Radial Artery Graft vs Saphenous Vein Graft With Long-term Cardiovascular Outcomes Among Patients Undergoing Coronary Artery Bypass Grafting: A Systematic Review and Meta-analysis. JAMA. 2020;324(2):179–187. doi:10.1001/jama.2020.8228

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Last Updated on July 14, 2020 by Marie Benz MD FAAD