Endoscopic radial artery harvesting reduces postoperative pain and neurologic complications (CROSBI ID 141011)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Rudež, Igor ; Unić, Daniel ; Sutlić, Željko ; Biočina, Bojan ; Barić, Davor ; Ivković, Mira ; Pavlović, Mirjana
engleski
Endoscopic radial artery harvesting reduces postoperative pain and neurologic complications
Background. Endoscopic radial artery harvest provides better cosmetic result without compromising the quality of the graft. We sought to compare postoperative harvesting site neurologic and vascular outcome. Methods. From 10/2002 until 10/2004, 50 patients were randomized to have their radial artery harvested for coronary bypass either endoscopically (group A, n = 25) or conventionally (group B, n = 25). Radial arteries were preoperatively evaluated by Doppler echocardiography. Neurologic and functional status was assessed by a self reporting questionnaire with a semiquantitative (1-5) scale. Vascular status of the forearm was assessed by control echocardiography. Results. At an average follow-up of 37 +/- 7 months, patients undergoing endoscopic radial artery harvesting had less overall neurologic complications (11 versus 17 patients, P = .023) and they were less severe (0.8 +/- 1.1 versus 2.2 +/- 1.2 ; P < .001). Ulnar flow increase was similar among the groups: 13.1 +/- 5.43 cm/s in group A versus 15.9 +/- 4.9 cm/s in group B (P = .147) as well as ulnar artery diameter increase 0.29 +/- 0.16 mm in group A versus 0.29 +/- 0.26 cm in group B (P = .914) Conclusion. Endoscopic radial artery is safe and does not compromise graft quality or forearm and hand circulation postoperatively. Along with providing a better cosmetic result, endoscopic artery harvesting reduces postoperative harvesting site pain and neurologic complications.
radial artery ; postoperative pain
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Podaci o izdanju
10 (5)
2007.
E363-E365
objavljeno
1098-3511
1522-6662
10.1532/HSF98.20071105
Povezanost rada
Kliničke medicinske znanosti