title: Which is the best graft for the right coronary artery?
abstract: Bilateral internal mammary arteries directed to the left coronaries are gaining popularity; an increasing level of evidence nowadays supports this surgical strategy. On the other hand, composite right internal mammary artery, radial artery, and gastroepiploic artery targeting high-grade stenotic lesions in the right coronary artery system may confer improved mid- and long-term patency compared to long saphenous veins. This analysis looks into the evidence comparing data of the third best available conduit for grafting the right coronary artery, and by extrapolating this report, compares total arterial revascularization vs. conventional coronary artery bypass grafting.
authors.affiliation: Cardiothoracic Department, Royal Victoria Hospital, Belfast, UK hparissis@yahoo.co.uk.
authors.forename: Haralabos
authors.initials: H
authors.lastname: Parissis
authors.affiliation: Cardiopulmonary Transplantation Department, Freeman Hospital, Newcastle Upon Tyne, UK.
authors.forename: Bandigowdanapalya Channaiah
authors.initials: BC
authors.lastname: Ramesh
authors.affiliation: Cardiothoracic Department, Royal Victoria Hospital, Belfast, UK.
authors.forename: Bassel
authors.initials: B
authors.lastname: Al-Alao
mesh_terms: D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D024405:Gastroepiploic Artery / Q000503:physiopathology / Q000637:transplantation*; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects; D017534:Radial Artery / Q000503:physiopathology / Q000637:transplantation*; D012501:Saphenous Vein / Q000503:physiopathology / Q000637:transplantation*; D016896:Treatment Outcome; D014654:Vascular Patency
keywords: Coronary artery bypass; gastroepiploic artery; internal mammary-coronary artery anastomosis; radial artery; saphenous vein