Coronary-artery bypass grafting (CABG), introduced in the 1960s, remains the standard revascularization treatment for complex coronary disease. The left internal thoracic artery, with its excellent patency when used as a graft, is the conduit of choice for anastomosis to the left anterior descending coronary artery.
However, the selection of the second conduit remains a matter of debate. Most CABG procedures are performed with a left internal-thoracic-artery graft and saphenous-vein grafts, despite guidelines advocating the use of more arterial grafts. [...]

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Journal New England Journal of Medicine
Head, S.J, & Kappetein, A.P. (2019). Coronary Bypass Surgery - An ART for Dedicated Surgeons. New England Journal of Medicine, 380(5), 489–491. doi:10.1056/NEJMe1814681