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Table 10. Best Practices for the Use of Bypass Conduits in
CABG
• Objectively assess palmar arch completeness and ulnar compensation before
harvesting the radial artery. Use the arm with the best ulnar compensation for radial
artery harvesting.
• Use radial artery gras to target vessels with subocclusive stenoses.
• Avoid the use of the radial artery aer transradial catheterization.
• Avoid the use of the radial artery in patients with chronic kidney disease and a high
likelihood of rapid progression to hemodialysis.
• Use oral calcium channel blockers for the first postoperative year aer radial artery
graing.
• Avoid bilateral percutaneous or surgical radial artery procedures in patients with
coronary artery disease to preserve the artery for future use.
• Harvest the internal mammary artery using the skeletonization technique to reduce
the risk of sternal wound complications.
• Use an endoscopic saphenous vein harvest technique in patients at risk of wound
complications.
• Use a no-touch saphenous vein harvest technique in patients at low risk of wound
complications.
• Use the skeletonized right gastroepiploic artery to gra right coronary artery target
vessels with subocclusive stenosis if the operator is experienced with the use of the
artery.
