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Ann Thorac Surg 2000;69:1288-1294
© 2000 The Society of Thoracic Surgeons

CURRENT REVIEWS

The radial artery: which place in coronary operation?

Alessandro Parolari, MD, PhDa, Patrizia Rubini, MDa, Francesco Alamanni, MDa, Aldo Cannata, MDa, Wang Xin, MDa, Tiziano Gherli, MDb, GianLuca Polvani, MDa, Thomas Toscano, MD, PhDa, Marco Zanobini, MDa, Paolo Biglioli, MDa

a Department of Cardiac Surgery, University of Milan, Milan, Italy
b Department of Cardiac Surgery, University of Parma, Parma, Italy

Address reprint requests to Dr Parolari, Department of Cardiac Surgery, University of Milan, Centro Cardiologico, Fondazione I Monzino IRCCS, Via Parea, 4, 20138, Milan, Italy
e-mail: aparolari{at}cardiologicomonzino.it

Previous long-term studies have shown unsatisfactory patency of saphenous vein grafts, compared with internal mammary artery grafts. Recently, the use of the radial artery as a coronary artery bypass graft has enjoyed a revival, on the basis of the belief that it will help improving long-term results of coronary operations. The recent report of encouraging 5-year patency rates, supports its continued use as a bypass graft. In this paper, we review the current knowledge about the radial artery as a bypass graft, with special emphasis on the clinical results.




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