Extended use of radial artery with Y-graft technique for complete arterial revascularization

Ann Thorac Surg. 2001 Aug;72(2):636-7. doi: 10.1016/s0003-4975(01)02730-8.


One of the biggest problems encountered during complete arterial revascularization is difficulty obtaining sufficient graft length to perform multiple distal anastomoses. We describe a technique of dividing the radial artery during harvest and forming one or more composite Y-grafts to allow end-to-side rather than sequential anastomoses without substantially decreasing usable conduit length. This approach has merit and may be helpful in some patients who require complex arterial grafting.

MeSH terms

  • Anastomosis, Surgical / methods
  • Coronary Artery Bypass / methods*
  • Humans
  • Myocardial Revascularization / methods
  • Radial Artery / transplantation*
  • Suture Techniques
  • Tissue and Organ Harvesting / methods