Non-harvestable radial artery. A bilateral problem?
| Autor: | Jari Laurikka, Ossi Teerenhovi, Mika Kohonen, Tiina Terho, Matti Tarkka |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Blood Pressure Allen's test Functional Laterality Coronary artery bypass surgery medicine.artery Internal medicine medicine Humans Plethysmograph Coronary Artery Bypass Radial artery Contraindication business.industry Contraindications Ultrasonography Doppler Middle Aged Hand Surgery Plethysmography medicine.anatomical_structure Blood pressure Radial Artery Circulatory system Tissue and Organ Harvesting Cardiology Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 7:797-800 |
| ISSN: | 1569-9285 1569-9293 |
| Popis: | Since radial artery is preferably harvested from a non-dominant hand, our aim was to study whether there are contraindications for radial artery harvest in the dominant hand if the radial artery of the other hand is not suitable for harvesting. Thirty-three patients scheduled to coronary artery bypass grafting with contraindication for radial artery harvest in the non-dominant hand underwent Allen test, upper arm Doppler ultrasonography and digital pletysmography. In ultrasonography, both anatomical and circulatory measurements were performed. Both hands were then compared to each other. Furthermore, twelve control patients without contraindication for radial artery harvest in the non-dominant hand were examined. All 33 patients had contraindication for radial artery harvest in the non-dominant hand. Twenty-four (73%) had contraindication in the dominant hand as well. In terms of morphology, there was no statistically significant difference between the hands but circulatory parameters as a group suggested contraindication. Among controls, four patients (33%) had contraindication in the dominant hand. In the case of a non-harvestable radial artery in a hand there is clearly an increased risk for contraindication for radial artery harvest also in the other hand. |
| Databáze: | OpenAIRE |
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