Technique for harvesting the radial artery as a coronary artery bypass graft

Reyes, Angelo; Frame, Rosemary; Brodman, Richard

doi:10.1016/0003-4975(94)00673-u

Cited by 167 publications

(88 citation statements)

References 10 publications

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“…Post-harvesting complications (n=50). towards radial artery 12 . The risk of severe post-harvesting complications leading to hand disability as a consequence of hand ischemia or major neuronal trauma is extremely rare if the surgical technique and pre-operative hand collateral blood flow evaluation are carried out properly 2,7,12 .…”

Section: Discussionmentioning

confidence: 97%

“…towards radial artery 12 . The risk of severe post-harvesting complications leading to hand disability as a consequence of hand ischemia or major neuronal trauma is extremely rare if the surgical technique and pre-operative hand collateral blood flow evaluation are carried out properly 2,7,12 . However, neuropathic sensory disturbances in the terminal area of the superficial branch of the radial nerve (SBRN), lateral antebrachial cutaneous nerve (LACN), and sensory part of median nerve (MN) are clinically detectable in 12-51% of cases in the postoperative period and even persist in 8-12% patients 1 year after the surgery 3,13,14 .…”

Section: Discussionmentioning

confidence: 97%

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Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience

Šimek¹,

Marcián²,

Gwozdziewicz³

et al. 2013

BIOMED PAP

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Aim. We sought to evaluate our experience with endoscopic radial artery harvesting for coronary artery bypass grafting (CABG). Methods. From October 2005 to June 2010, 50 patients who underwent endoscopic radial artery harvesting for an elective CABG were prospectively assessed for harvesting characteristics, complications, postoperative and mid-term outcomes.Results. There were 34 (68%) males and 16 (32%) females, average age 60.8±9.2 years. All but two RA grafts (96%) were successfully harvested endoscopically. Mean harvesting time was 46.2±9.3 min and mean length of harvested grafts was 23.4±2.2 cm. In the post-operative period there were no wound-healing complications; residual forearm edema was recorded in 6 patients (12%) and peripheral neuropathy in 4 patients (8%). At 3 months after the surgery, peripheral neuropathy and residual edema persisted in 2 patients (4%). A significant drop of overall harvesting time (56.2± 18.6 vs. 38.6±8.6 min, P<0.05) and forearm ischemia time (41.8±12.7 vs. 24.2±3.2 min, P<0.01) was found between first and last ten cases in the group. Conclusion. Endoscopic radial artery harvesting was associated with low risk of post-harvesting complications and most of these disappeared within a 3 months follow-up. However, there was a significant learning curve.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience

Šimek¹,

Marcián²,

Gwozdziewicz³

et al. 2013

BIOMED PAP

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show abstract

“…All the patients were operated on under elective conditions. LRA was dissected according to the normal previously described technique [6] and the proximal portion of the LRA was chosen where the caliber is greater and there is a lower incidence of arteriosclerotic process. After dissection, the graft was irrigated with a solution containing verapamil and isossorbide hydrochloride and kept under these conditions up to anastomosis.…”

Section: Patient Selectionmentioning

confidence: 99%

Estudo comparativo randomizado da evolução imediata dos pacientes com artéria radial anastomosada proximalmente na aorta ou como enxerto composto

Sobral¹,

Santos²,

Santos³

et al. 2006

Rev Bras Cir Cardiovasc

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“…It is known, for example, about the effect of the degree of obstructive lesion of the target coronary on evolution of its flow [6,7]. However, only recently, other aspects of RA have been studied such as, for example, the different techniques for graft dissection or the site of proximal anastomosis [6,[8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Revascularização miocárdica com artéria radial: influência da anastomose proximal na oclusão a médio e longo prazo

Carneiro¹,

Platania²,

Dallan³

et al. 2009

Rev Bras Cir Cardiovasc

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Revascularização miocárdica com artéria radial: influência da anastomose proximal na oclusão a médio e longo prazo Coronary artery bypass grafting using the radial artery: influence of proximal anastomosis site in mid-term and long-term graft patency Abstract Objective: To determine whether the proximal anastomosis interferes or not in mid-and long-term patency of these grafts.Methods: One hundred twenty-three out of 481 patients who had undergone surgery using radial artery (RA) were restudied. The mean age was 58. 39CARNEIRO, LJ ET AL -Coronary artery bypass grafting using the radial artery: influence of proximal anastomosis site in mid-term and long-term graft patency Bras Cir Cardiovasc 2009; 24(1): 38-43 Rev

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Technique for harvesting the radial artery as a coronary artery bypass graft

Cited by 167 publications

References 10 publications

Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience

Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience

Estudo comparativo randomizado da evolução imediata dos pacientes com artéria radial anastomosada proximalmente na aorta ou como enxerto composto

Revascularização miocárdica com artéria radial: influência da anastomose proximal na oclusão a médio e longo prazo

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