Neurologic hand complications after radial artery harvest for coronary artery bypass grafting

Sajja, Lokeswara Rao; Mannam, Gopichand; Frcs, G Williams; Sompalli, Sriramulu

doi:10.1067/mtc.2002.121842

Cited by 9 publications

(12 citation statements)

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“…Patients report a number of hand problems after the RA harvesting for CABG. A variety of these are referred in the literature 3,20,21,24‐28 . It is possible that these neurologic complications are due to radial nerve injury as well as median nerve injury.…”

Section: Discussionmentioning

confidence: 99%

Harvesting Radial Artery and Neurologic Complications*

Siminelakis

Karfis

Anagnostopoulos

et al. 2004

Journal of Cardiac Surgery

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Section: Discussionmentioning

confidence: 99%

Harvesting Radial Artery and Neurologic Complications*

Siminelakis

Karfis

Anagnostopoulos

et al. 2004

Journal of Cardiac Surgery

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“…Proper diameter (2-3 mm without size mismatch to the coronary arteries [31]), robust structure, and relative resistance to kinking are some additional advantages of the RA [73]. However, the neurologic problems [49], which have been described as the most common complications following RA harvest [77,78], constitute a serious problem of the RA harvesting and the tendency for vasospasm is its most important negative characteristic [79]. According to histologic studies, its elastic laminae have one layer with multiple fenestrations.…”

Section: Ra Characteristicsmentioning

confidence: 97%

“…Patients complain about various hand problems after RA harvesting for CABG [77,78,136,[147][148][149][150][151]. Either radial nerve injury or median nerve injury can cause these neurologic complications.…”

Section: Complications After Ra Harvestingmentioning

confidence: 99%

Radial artery as graft for coronary artery bypass surgery: Advantages and disadvantages for its usage focused on structural and biological characteristics

Baikoussis

Papakonstantinou

Apostolakis

2014

Journal of Cardiology

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Radial artery (RA) is the most popular arterial graft after the left internal thoracic artery in both low- and high-risk patients undergoing coronary artery bypass grafting. Various arterial grafts such as the right internal thoracic artery, the right gastroepiploic artery, and the inferior epigastric artery have also gained ground over the past 30 years because of the intimal hyperplasia and atherosclerosis of the saphenous vein leading to late graft occlusion. In this review article we would like to present the utility of the RA as a graft, focused mainly on its structural and biological characteristics.

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“…The neurological hand abnormalities have been described as the most common complications following RA harvest. 20,21 Frequent damage to the superficial branch of the radial nerve and lateral antebrachial cutaneous nerve, but rarely to the median nerve, was mainly responsible for those symptoms. Based on our experience, a curvilinear incision along the belly of the rachioradialis muscle, a careful retraction of the brachioradialis and flexor carpi radialis muscles, a careful mobilization in the lateral of proximal and distal third of the RA pedicle in harvesting could result in decreased neurological injuries.…”

Section: Advantages Of Ra As a Graft For The Elderlymentioning

confidence: 99%