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Titolo:
Functional status of the hand after radial artery harvesting: Results in 3,977 cases
Autore:
Meharwal, ZS; Trehan, N;
Indirizzi:
Escorts Heart Inst & Res Ctr, New Delhi 110025, India Escorts Heart Inst &Res Ctr New Delhi India 110025 Delhi 110025, India
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 5, volume: 72, anno: 2001,
pagine: 1557 - 1561
SICI:
0003-4975(200111)72:5<1557:FSOTHA>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
MYOCARDIAL REVASCULARIZATION; BYPASS GRAFT; TECHNICAL CONSIDERATIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Meharwal, ZS Escorts Heart Inst & Res Ctr, Okhla Rd, New Delhi 110025, India Escorts Heart Inst & Res Ctr Okhla Rd New Delhi India 110025
Citazione:
Z.S. Meharwal e N. Trehan, "Functional status of the hand after radial artery harvesting: Results in 3,977 cases", ANN THORAC, 72(5), 2001, pp. 1557-1561

Abstract

Background. The radial artery is being used as a conduit of choice over saphenous vein with increasing frequency. We analyzed early and midterm results of coronary artery bypass grafting using radial artery as one of the conduits. The functional outcome of the hand after radial artery harvesting was analyzed. Methods. The radial artery was used in 3,977 patients undergoing coronary artery bypass grafting between December 1996 and November 2000. Modified Allen's test was performed preoperatively in the ward and pulse oxymetry was used in the operating theater to assess the collateral circulation of the hand. A total of 4,172 anastomoses. were performed using a radial artery. The patients were followed up at regular intervals in the outpatient clinic or were sent questionnaires. The functional results of the hand were assessed. Follow-up angiography was performed in 104 patients at a mean of 18 months. Results. The hospital mortality was 0.8%. Perioperative myocardial infarction occurred in 1.3% of patients. The average number of grafts was 3.12. Nopatient had acute ischemic injury of the hand. Follow-up was complete in 94% of patients. Late infection developed in 0.4% of patients. Numbness and paresthesias continued in 6.5% and 3% patients, respectively, after 3 months. The patency rate of the radial and left internal mammary artery was 92.3% and 96.0%, respectively, at a mean of 18 months. Conclusions. Use of radial artery for coronary artery bypass grafting is associated with low morbidity and good functional outcome of the hand. It can be used more frequently as the conduit of choice after the internal mammary artery. (C) 2001 by The Society of Thoracic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 16:48:29