Advances in Arterial CABG

Filmed at the 2019 STS Annual Meeting in San Diego, California, Patrick Myers of the Lausanne University Hospital in Switzerland moderates a discussion on the usage of arterial grafts in coronary artery bypass surgery (CABG). Dr Myers is joined by John Puskas of the Icahn School of Medicine at Mount Sinai in New York, New York, USA, Mario Gaudino of Weill Cornell Medical College in New York, and Michael Mack of the Baylor Health Care System in Plano, Texas, USA. The panel begins by noting the gap between evidence and practice for the use of multiple arterial grafts in CABG procedures. They discuss published and ongoing studies, highlighting the trial design lessons learned from the ART trial that are being applied in the ROMA trial. They also detail approaches for increasing usage of a multiarterial graft technique, discussing both ways for individual surgeons to adopt the technique and strategies to drive this change more broadly.