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

Abstract

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.

Modeling the SDF-1/CXCR4 protein using advanced artificial intelligence and antagonist screening for Japanese anchovy

“…Moreover, gonadal sterilization is expected to be an effective method for preventing genetic contamination in the natural environment (Nagasawa et al, 2019), eliminating invasive species (Roger et al, 2003), and protecting the intellectual property rights of highly bred varieties (Xu et al, 2023). Despite their importance, successful gonadal sterilization has been achieved in only handful of species, and most of them through targeting the primordial germ cell (PGC), the putative precursor of germ cells (Aleksandar et al, 2016), migration and development (Wong and Zohar, 2015). Moreover, mass-scale and cost-effective gonad sterilization technologies are very limited and utmost necessary for aquaculture adaptability.…”