Training for Multiple Arterial Grafting: A Thoracic Surgery Resident Survey

BackgroundUtilization of multiple arterial grafting (MAG) in the United States is less than 10%. Trainee experience with MAG has not previously been examined.MethodsA total 497 thoracic surgery residents accredited training programs March 2019 and 115 who completed residency 2018 were electronically surveyed regarding their using a radial artery (RA) graft or bilateral internal mammary (BIMA) grafts skeletonized (SM).ResultsEighty-four (14%) trainees responded: 54% had 2+ years 87% declared focus as cardiac, undecided, both cardiac (CUB). Of all 84 respondents, 76% (n = 64 84) no RA harvest. A 35% 29 SM The majority, 68% 57 84), used BIMA 0% to 5% cases. 61% 51 conduit Among experience, 56% 25 45) performed more 6 takedowns, 18% 8 experience. In years, 20% 9 5 harvests, while 80% 36 Examining integrated 6-year greater 3 only 33% 15) grafting. 90% CUB wanted perform practice 75% felt prepared do so.ConclusionsDespite substantial variation training, respondents expressed an overwhelming interest performing MAG. These data reality utilization indicate that rigorous, standardized approach may be required. Utilization examined. (SM). Eighty-four so. Despite