Routine myocardial revascularization with the radial artery: a multicenter experience
| Autor: | Robert F. Tranbaugh, T Banks, Paul Stelzer, L M Graver, Richard Brodman, D Sisto, A M Chen, F Wasserman, G M Kline, R W Frater, Darryl M. Hoffman, P Furlong, M Frymus, Robert Palazzo, R Frame, Loren J. Harris, B I Cohen |
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| Rok vydání: | 1999 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Adolescent Ischemia Coronary Disease Internal thoracic artery Coronary Angiography Forearm Internal medicine medicine.artery medicine Humans Prospective Studies Radial artery Coronary Artery Bypass Prospective cohort study Child Survival rate Aged Aged 80 and over Dysesthesia business.industry Infant Middle Aged medicine.disease Surgery Survival Rate medicine.anatomical_structure Treatment Outcome Child Preschool Radial Artery Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Artery Follow-Up Studies |
| Zdroj: | Journal of cardiac surgery. 13(5) |
| ISSN: | 0886-0440 |
| Popis: | Background Current literature documents use of the radial artery (RA) for myocardial revascularization only as an alternative conduit in cases where the saphenous veins have been previously harvested or are unsuitable for use. Large-scale routine clinical use of the RA as the conduit of choice has not been reported. Methods This prospective study evaluated the harvest of the RA from 933 patients and the subsequent use of the conduit as a preferred coronary artery bypass graft second only to the left internal thoracic artery in 930 of these patients. Results Unilateral RA harvest was performed in 786 patients and 147 patients had bilateral RA harvest. A total of 1080 RAs were harvested; 214 (19.8%) originated from the dominant forearm. There was a mean of 3.30+/-0.93 grafts per patient of which 2.43+/-0.83 were arterial grafts. The mean number of RA grafts was 1.43+/-0.53. Operative mortality was 2.3% with none due to the RA graft(s). There was no ischemia nor motor dysfunction in the operated hands. Thirty-two (3.4%) patients experienced transient thenar dysesthesia that resolved in 1 day to 6 weeks. Conclusions Our results demonstrate that routine total or near total arterial myocardial revascularization may be achieved safely and effectively with the use of one or both RAs in conjunction with the internal thoracic artery. |
| Databáze: | OpenAIRE |
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