Five-Year Clinical Outcome of Endoscopic Versus Open Radial Artery Harvesting: A Propensity Score Analysis

Bisleri, Gianluigi; Giroletti, Laura; Hrapkowicz, Tomasz; Bertuletti, Martina; Zembala, Marian; Arieti, Mario; Muneretto, Claudio

doi:10.1016/j.athoracsur.2016.04.006

Cited by 20 publications

(18 citation statements)

References 19 publications

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“…Same result was reported in previously cited study, where 98% of pts were satisfied, and only 1.6% considered scar as extremely bad [9]. Very good cosmetic results were also reported by others, after using endoscopic technique [2,15,16].…”

Section: Esthetic Satisfaction and Arm Painsupporting

confidence: 84%

Postoperative Complications and Patient’s Satisfaction after Harvesting of the Radial Artery for Coronary Artery Bypass

Milutinovic¹,

Perić²,

Ćirković³

et al. 2018

JPP

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Objectives: There is a paucity of data regarding wound-site complications and patient's satisfaction after harvesting of a radial artery. This study is conducted to evaluate the frequency complications and the level of patient's satisfaction after myocardial revascularization in our setting. Methods: From April 2009 to October 2013, 97 patients had radial artery (RA) used as a graft in myocardial revascularization. The graft was harvested using open technique. This was retrospective study. Telephone questionnaire was used to evaluate: arm pain, swelling, mobility, sensory changes, patient's contentment with a cosmetic result and the general health state. Results: Pain of limited duration was reported by 24 patients (24.7%), none of them reported permanent pain. Some problems in performing everyday's activities were reported by 8 pts (8.2%). Sensory changes were permanently present in 5 pts (5.2%), and frequent arm fatigue was reported by 4 pts (4.1%). Positive opinion regarding the cosmetic result was reported by 95 pts (97.9%). State of the health after surgery, 81 pts (83.5%) described as excellent or good. Patients who had more mobility problems, also had more sensory and neurological discomfort respectively. Patients with better self-reported general health state were also more satisfied with the esthetic effect of the intervention. Conclusions: Using the open technique resulted in excellent cosmetic effect. This gives us credit to point out that exclusive need of the endoscopic as a supreme method might be under the question mark. Our study suggests that individual attitude of the particular patient plays extremely important role in his/her overall satisfaction with the end effect of the procedure.

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Section: Esthetic Satisfaction and Arm Painsupporting

confidence: 84%

Postoperative Complications and Patient’s Satisfaction after Harvesting of the Radial Artery for Coronary Artery Bypass

Milutinovic¹,

Perić²,

Ćirković³

et al. 2018

JPP

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“…Search result and study characteristics. Overall, 9 RCTs [24][25][26][27][28][29][30][31][32], 3 NRCTs with propensity score matching [33][34][35], and 12 NRCTs [36][37][38][39][40][41][42][43][44][45][46][47] were included. All studies included were published in English.…”

Section: Search Resultsmentioning

confidence: 99%

Radial artery harvesting in coronary artery bypass grafting surgery—Endoscopic or open method? A meta-analysis

Huang

Cheng

et al. 2020

PLoS ONE

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We analyzed the clinical outcomes of open radial artery harvesting (OAH) and endoscopic radial artery harvesting (EAH) undergoing coronary artery bypass grafting (CABG). We designed this meta-analysis conducted using Pubmed, Medline, the Cochrane Library, and EMBASE. Articles with comparisons of OAH and EAH undergoing CABG were included. Primary outcomes included the wound infection rate, the wound complication rate, neurological complications of the forearm, in-hospital mortality, long-term survival, and the patency rate. The results of our study included six randomized controlled trials (RCTs), two non-randomized controlled trials (NRCTs) with matching, and 10 NRCTs. In total, 2919 patients were included in 18 studies, while 1187 (40.7%) and 1732 (59.3%) patients received EAH and OAH, respectively. EAH was associated with a lower incidence of wound infection (RR = 0.29, 95% confidence interval (CI) = 0.14 to 0.60, p = 0.03), and neurological complications over the harvesting site (RR = 0.41, 95% CI = 0.27 to 0.62, p < 0.0001). There was no significant difference in 30-day mortality, long-term survival (over one year), and the graft patency rate. According to our analysis, endoscopic radial artery harvesting can improve the outcome of the harvesting site, without affecting the mortality, long-term survival, and graft patency.

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“…In a PSM study by Navia et al no difference was found between the two techniques in terms of wound infection and neurological deficits. However, Bisleri and coauthors found that open RA harvesting was associated with increased wound infection (7.3% vs 0.0%; p = 0.007), poorer wound healing using the Hollander scale (3.3 vs 4.7, p < 0.001), and increased prevalence of paresthesia at long term follow‐up (19.5% vs 3.6%; p < 0.001) …”

Section: Discussionmentioning

confidence: 99%

Endoscopic versus open radial artery harvesting: A meta-analysis of randomized controlled and propensity matched studies

et al. 2017

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Five-Year Clinical Outcome of Endoscopic Versus Open Radial Artery Harvesting: A Propensity Score Analysis

Abstract: Endoscopic radial artery harvesting allows for incremental benefits in the short term in terms of improved cosmesis and reduced wound and neurologic complications, without yielding detrimental effects in terms of graft-related events at 5 years of follow-up.

Cited by 20 publications

References 19 publications

Postoperative Complications and Patient’s Satisfaction after Harvesting of the Radial Artery for Coronary Artery Bypass

Postoperative Complications and Patient’s Satisfaction after Harvesting of the Radial Artery for Coronary Artery Bypass

Radial artery harvesting in coronary artery bypass grafting surgery—Endoscopic or open method? A meta-analysis

Endoscopic versus open radial artery harvesting: A meta-analysis of randomized controlled and propensity matched studies

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