| Autor: |
Salah Eldien Altarabsheh, Salil V. Deo, Hamoud Obied, Yagzan Obeidat, Alan H. Markowitz |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Journal of the Saudi Heart Association, Vol 27, Iss 4, p 328 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
1016-7315 |
| DOI: |
10.1016/j.jsha.2015.05.256 |
| Popis: |
Impetus on total arterial revascularization has led to increased use of the radial artery as a conduit for coronary artery bypass grafting. The radial artery conduit is being increasingly as alternative to saphenous vein as conduit. Recent interest has focused on endoscopic harvest using a single small incision in the wrist. However, data comparing this with the earlier open surgical technique is limited. Methods: We have performed aggregate level meta-analysis pooling 1340 patients from six studies. The Peto odds ratio (OR) was obtained using fixed effect modeling. Continuous data was pooled as weighted mean difference (WMD). Results: Conduit length was comparable between methods [WMD 0.6(0.2–1.7) mm; p = 0.3]. Endoscopic radial artery harvest led to lower rates of wound hematoma formation [OR 0.2 (0.08–0.47); p ≤ 0.01] and wound infection [OR 0.4(0.1–0.9); p = 0.04]. However, the incidence of forearm wound exploration was comparable [OR 0.6(0.2–1.7); p = 0.34]. Conclusions: Endoscopic radial artery harvest may reduce forearm complications after radial artery harvest. It may be the procedure of choice for harvesting the radial artery when needed. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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