Arterial Conduits for Coronary Artery Bypass Grafting
Publication Date: February 1, 2016
Last Updated: March 14, 2022
Recommendations
Bilateral Internal thoracic arteries (ITAs)
As an adjunct to LITA, a second arterial graft (right internal thoracic artery or radial artery [RA]) should be considered in appropriate patients. (Level B, Class IIa (benefit > > risk))
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Use of BITAs should be considered in patients who do not have an excessive risk of sternal complications. (Level B, Class IIa (benefit > > risk))
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To reduce the risk of sternal infection with BITA consider the following:
Skeletonized grafts should be considered. (Level B, Class IIa (benefit > > risk))
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Smoking cessation is recommended. (Level C, Class I (benefit > > >risk))
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Glycemic control should be considered. (Level B, Class IIa (benefit > > risk))
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Enhanced sternal stabilization may be considered. (Level C, Class IIb (benefit > >risk))
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Title
Arterial Conduits for Coronary Artery Bypass Grafting
Authoring Organization
Society of Thoracic Surgeons