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Never again. Once used for cardiac catherization the Radial Artery cannot be used for CABG.
  • David Chadow,
  • Giovanni J. Soletti,
  • Mario Gaudino
David Chadow
Weill Cornell Medicine
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Giovanni J. Soletti
Weill Cornell Medicine
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Mario Gaudino
NewYork-Presbyterian Hospital/Weill Cornell Medical Center
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Abstract

The use of the Radial Artery (RA) as a conduit in coronary artery bypass grafting (CABG) has been steadily increasing since the early 1990’s and based on the most recent data may well become the standard of care for patients with multi-vessel coronary artery disease (CAD) requiring multiple arterial grafts. The TRA approach for cardiac catherization has also increased steadily in use by interventional cardiologists owing to its reduction in bleeding and vascular complications when compared with the femoral approach and is now considered the preferred arterial access. However, prior use of transradial access (TRA) for cardiac catherization is a contra-indication for the use of the RA for CABG because of high rates of structural damage to the vascular wall and potential for graft failure. In this issue of the Journal of Cardiac Surgery Clarke et al. examine the RA of two patients who had TRA for coronary angiography 8 and 12 years prior and note that both patients had chronic injury with dissection and obstruction of the lumen secondary to fibrosis suggesting that TRA causes long-term and irreversible damage rendering them unsuitable as conduits for CABG.

Peer review status:ACCEPTED

27 Sep 2021Submitted to Journal of Cardiac Surgery
28 Sep 2021Assigned to Editor
28 Sep 2021Submission Checks Completed
28 Sep 2021Editorial Decision: Accept