Adjunctive Radial Artery Grafts No Better Than SVGs in Multivessel CABG

The CSP 474 trial challenges some of the conventional knowledge around graft choice in CABG surgery, as was presented at the European Association for Cardiothoracic Surgery (EACTS) conference. The trial results showed that when an adjunctive graft was needed in patients with coronary disease, use of the radial artery instead of a saphenous vein did not give any survival advantage. However, multiarterial grafts remain the best option when performed by an experienced surgeon.