Mario F.L. Gaudino · Decision guide

Mario F.L. Gaudino: arterial grafting for coronary bypass

Bypass graft selection informed by long-term randomized data · New York, United States

Research by Yevhenii Kozlov · Co-Founder of BookimedUpdated 8 October 2026Sources linked throughout

At a glance

Mario Gaudino’s Weill Cornell practice explicitly includes radial-artery and bilateral internal mammary-artery grafting. His research addresses what a bypass graft is made from, independently of the chest incision.

Multiple arterial grafting

The official profile names radial and bilateral internal mammary arteries among his coronary interests.

Sources: Mario F.L. Gaudino, MD, PhD

Ten-year conduit evidence

His pooled analysis of 1,036 randomized patients found fewer deaths, heart attacks or repeat procedures with radial-artery than vein grafts at median ten-year follow-up.

Sources: Association of Radial Artery Graft vs Saphenous Vein Graft With Long-term Cardiovascular Outcomes Among Patients Undergoing Coronary Artery Bypass Grafting: A Systematic Review and Meta-analysis.

Ongoing trial leadership

Weill Cornell identifies him as lead investigator of ROMA and ROMA:Women.

Sources: Mario F.L. Gaudino, MD, PhD

Portrait of Mario F.L. GaudinoPortrait source ↗

cardiac surgeon

Mario F.L. Gaudino

NewYork-Presbyterian / Weill Cornell Medicine →

Attending Cardiothoracic Surgeon, NewYork-Presbyterian; Professor, Weill Cornell Medicine

Attending Cardiothoracic Surgeon, NewYork-Presbyterian; Professor, Weill Cornell Medicine · New York, United States.

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Benefits and limitations

Potential advantages

Trade-offs and limits

Procedure-specific research

Randomized data on radial artery versus vein grafts

Gaudino led a patient-level analysis of 1,036 participants from randomized trials. At median ten-year follow-up, radial-artery grafting was associated with fewer events in the composite of death, myocardial infarction or repeat revascularization than saphenous-vein grafting.

How to interpret this: Pooled trials from five countries, not his own surgical cohort. The comparison concerns one conduit choice and does not establish superiority of all multiple-arterial strategies or robotic access.

Sources: Association of Radial Artery Graft vs Saphenous Vein Graft With Long-term Cardiovascular Outcomes Among Patients Undergoing Coronary Artery Bypass Grafting: A Systematic Review and Meta-analysis.

Clinical programme

NewYork-Presbyterian / Weill Cornell Medicine →

New York, United States

Weill Cornell’s Mario Gaudino explicitly practises multiple arterial CABG, including radial and bilateral internal mammary grafts. His research helps explain the long-term implications of conduit choice independently of a robotic or conventional incision.

Sources: Mario F.L. Gaudino, MD, PhD · Association of Radial Artery Graft vs Saphenous Vein Graft With Long-term Cardiovascular Outcomes Among Patients Undergoing Coronary Artery Bypass Grafting: A Systematic Review and Meta-analysis.

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