Absence of deterioration of vascular function of the donor limb at late follow-up after radial artery harvesting
| Autor: | Stefano Schena, Hendrick B. Barner, Tracey J. Guthrie, Traves D. Crabtree, John A. Curci, Kelly A. Baker, Ralph J. Damiano |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Vasodilation Internal thoracic artery Transplantation Autologous Upper Extremity Ulnar Artery medicine.artery Internal medicine Occlusion medicine Humans Radial artery Ulnar artery Aged Retrospective Studies Ultrasonography business.industry Middle Aged Surgery Transplantation medicine.anatomical_structure Radial Artery Circulatory system Tissue and Organ Harvesting Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies Artery |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 142:298-301 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/j.jtcvs.2010.10.003 |
| Popis: | ObjectiveRadial artery harvesting has been questioned because of purported long-term circulatory consequences. Previous midterm Doppler ultrasonographic results are inconsistent regarding ulnar arterial effects. Flow-mediated vasodilatation more sensitively measures response to shear stress as index of arterial reactivity and function.MethodsWe contacted 231 patients who had undergone radial artery harvesting at least 10 years previously (mean follow-up, 12.9 ± 0.8 years). Subcohort of 25 volunteers (mean age, 69.2 ± 8.4 years) underwent ultrasonographic evaluation of ipsilateral (harvest) and contralateral (control) ulnar arteries. Flow-mediated vasodilatation compared changes in ulnar arterial diameters before and after occlusion.ResultsIn subcohort, peak systolic velocity of harvest ulnar artery was 0.82 ± 0.15 m/s, versus 0.63 ± 0.23 m/s on control side (P |
| Databáze: | OpenAIRE |
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