| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 1999;15:186-193
© 1999 Elsevier Science NL
a Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Parkville, Victoria 3050, Australia
b Department of Anaesthesia, Royal Melbourne Hospital, Parkville, Victoria 3050, Australia
c Department of Occupational Therapy, Royal Melbourne Hospital, Parkville, Victoria 3050, Australia
Received 20 September 1998; received in revised form 9 December 1998; accepted 16 December 1998.
* Corresponding author. Suite 28, Private Medical Centre, P.O. Box 2135, Royal Melbourne Hospital, Parkville, Victoria 3050, Australia. Tel.: +61-3-9342-8908; fax: +61-3-9342-8908; e-mail: alistair.royse@nwhcn.org.au or june.sherry@nwhcn.org.au
Objective: To develop a simple harvest technique for radial artery (RA). To investigate the morbidity and functional outcome of RA harvest. Methods: The neurovascular fascia surrounding the RA is divided. Only loose areolar tissue surrounds this artery making harvest of RA simple and allowing minimal trauma to the RA and surrounding muscles. Topical and intraluminal vasodilators but no systemic vasodilators are used. Results: RA harvest commenced in December 1994. Between 1996 and 30 June 1998, 2167 RA were harvested and used to construct 3105 coronary anastomoses. A dramatic rise in RA use occurred during 1996. More than 80% of patients undergoing coronary artery bypass surgery (CABG) have RA harvested since this time. Total arterial revascularization rate also rose dramatically and is currently 80% of all CABG. This rate has been assisted by a rapid rise in the use of composite arterial grafting where aortic anastomoses can be avoided and currently represents 40% of all CABG. Hand strength was tested in 328 non-selected patients and was not reduced by RA harvest when hand dominance was taken into account. Objective sensation loss was present in 0.3% for the superficial radial nerve and 2.1% for the lateral cutaneous nerve of forearm. Pulse oximetry observations detected statistically significant but clinically irrelevant differences. Scar hypersensitivity occurred in 20%. Only two patients of all patients undergoing RA harvest reported late hand ischaemia. Conclusions: Harvest of the RA within the neurovascular plane is simple and associated with low morbidity.
Key Words: Radial artery • Total arterial revascularization • Pedicled arterial revascularization
This article has been cited by other articles:
|
|
 |
|
  S. Bleiziffer, I. Hettich, B. Eisenhauer, D. Ruzicka, B. Voss, R. Bauernschmitt, and R. Lange Neurologic sequelae of the donor arm after endoscopic versus conventional radial artery harvesting J. Thorac. Cardiovasc. Surg., September 1, 2008; 136(3): 681 - 687. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. G. Royse, G. S. Chang, D. M. Nicholas, and C. F. Royse No Late Ulnar Artery Atheroma After Radial Artery Harvest for Coronary Artery Bypass Surgery Ann. Thorac. Surg., March 1, 2008; 85(3): 891 - 894. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Nakajima, J. Kobayashi, O. Tagusari, K. Niwaya, T. Funatsu, A. Brik, T. Yagihara, and S. Kitamura Graft design strategies with optimum antegrade bypass flow in total arterial off-pump coronary artery bypass Eur. J. Cardiothorac. Surg., February 1, 2007; 31(2): 276 - 282. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Reyes, A. Traba, L. Lopez, A. Pinto, J. Duarte, and J. L. Vallejo Neurological damage after radial artery harvesting in coronary surgery: a direct measure Interactive CardioVascular and Thoracic Surgery, August 1, 2006; 5(4): 433 - 438. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. M. Feuchtner, A. Smekal, G. J. Friedrich, T. Schachner, J. Bonatti, W. Dichtl, M. Deutschmann, and D. zur Nedden High-Resolution 16-MDCT Evaluation of Radial Artery for Potential Use as Coronary Artery Bypass Graft: A Feasibility Study Am. J. Roentgenol., November 1, 2005; 185(5): 1289 - 1293. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Hata, M. Shiono, A. Sezai, M. Iida, A. Saitoh, T. Hattori, S. Wakui, M. Soeda, N. Negishi, and Y. Sezai Determining the best procedure for radial artery harvest: Prospective randomized trial for early postharvest complications J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 885 - 889. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. F. Chong, P. J. L. Ong, N. Moat, and P. Collins Effects of hydrostatic distention on in vitro vasoreactivity of radial artery conduits J. Thorac. Cardiovasc. Surg., October 1, 2004; 128(4): 609 - 614. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F.P. Casselman, M. La Meir, G. Cammu, F. Wellens, R. De Geest, I. Degrieck, F. Van Praet, Y. Vermeulen, and H. Vanermen Initial experience with an endoscopic radial artery harvesting technique J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 463 - 466. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Nakajima, J. Kobayashi, O. Tagusari, K. Bando, K. Niwaya, and S. Kitamura Competitive flow in arterial composite grafts and effect of graft arrangement in Off-Pump coronary revascularization Ann. Thorac. Surg., August 1, 2004; 78(2): 481 - 486. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. G. Royse, C. F. Royse, A. Maleskar, and A. Garg Harvest of the radial artery for coronary artery surgery preserves maximal blood flow of the forearm Ann. Thorac. Surg., August 1, 2004; 78(2): 539 - 542. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. N. Patel, A. C. Henry, C. Hunnicutt, C. A. Cockerham, B. Willey, and H. C. Urschel Jr Endoscopic radial artery harvesting is better than the open technique Ann. Thorac. Surg., July 1, 2004; 78(1): 149 - 153. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Zacharias, R. H. Habib, T. A. Schwann, C. J. Riordan, S. J. Durham, and A. Shah Improved Survival With Radial Artery Versus Vein Conduits in Coronary Bypass Surgery With Left Internal Thoracic Artery to Left Anterior Descending Artery Grafting Circulation, March 30, 2004; 109(12): 1489 - 1496. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. J. Goldstein and S. Gupta Use of the Radial Artery for Hemodialysis Access Arch Surg, October 1, 2003; 138(10): 1130 - 1134. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. F. Buxton, J. S. Raman, P. Ruengsakulrach, I. Gordon, A. Rosalion, R. Bellomo, M. Horrigan, and D. L. Hare Radial artery patency and clinical outcomes: Five-year interim results of a randomized trial J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1363 - 1371. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. C.F. Chong, P. J.L. Ong, C. S. Hayward, P. Collins, and N. E. Moat Effects of radial artery harvesting on forearm function and blood flow Ann. Thorac. Surg., April 1, 2003; 75(4): 1171 - 1174. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Royse, A. Royse, P. Soeding, D. Blake, and J. Pang Prospective randomized trial of high thoracic epidural analgesia for coronary artery bypass surgery Ann. Thorac. Surg., January 1, 2003; 75(1): 93 - 100. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. W. Connolly, L. D. Torrillo, M. J. Stauder, N. U. Patel, J. C. McCabe, D. F. Loulmet, and V. A. Subramanian Endoscopic radial artery harvesting: results of first 300 patients Ann. Thorac. Surg., August 1, 2002; 74(2): 502 - 506. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Z. S. Meharwal and N. Trehan Routine Use of the Radial Artery for Coronary Artery Revascularization Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 20 - 24. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Tatoulis, A. G. Royse, B. F. Buxton, J. A. Fuller, P. D. Skillington, J. C. Goldblatt, R. P. Brown, and M. A. Rowland The radial artery in coronary surgery: a 5-year experience--clinical and angiographic results Ann. Thorac. Surg., January 1, 2002; 73(1): 143 - 148. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Saeed, A. C. Anyanwu, M. H. Yacoub, and M. Amrani Subjective patient outcomes following coronary artery bypass using the radial artery: results of a cross-sectional survey of harvest site complications and quality of life Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1142 - 1146. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Z. S. Meharwal and N. Trehan Functional status of the hand after radial artery harvesting: results in 3,977 cases Ann. Thorac. Surg., November 1, 2001; 72(5): 1557 - 1561. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. P. Taggart, M. N. Mathur, and I. Ahmad Skeletonization of the radial artery: advantages over the pedicled technique Ann. Thorac. Surg., July 1, 2001; 72(1): 298 - 299. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. A. Denton, L. Trento, M. Cohen, R. M. Kass, C. Blanche, S. Raissi, W. Cheng, G. P. Fontana, and A. Trento Radial artery harvesting for coronary bypass operations: Neurologic complications and their potential mechanisms J. Thorac. Cardiovasc. Surg., May 1, 2001; 121(5): 951 - 956. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Tatoulis, B. F. Buxton, and J. A. Fuller The radial artery in coronary re-operations Eur. J. Cardiothorac. Surg., March 1, 2001; 19(3): 266 - 273. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. G. Royse, C. F. Royse, J. Tatoulis, L. E. Grigg, P. Shah, D. Hunt, N. Better, and S. F. Marasco Postoperative radial artery angiography for coronary artery bypass surgery Eur. J. Cardiothorac. Surg., March 1, 2000; 17(3): 294 - 304. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. G. Royse, C. F. Royse, and J. Tatoulis Total arterial coronary revascularization and factors influencing in-hospital mortality Eur. J. Cardiothorac. Surg., November 1, 1999; 16(5): 499 - 505. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. G. Royse, C. F. Royse, and J. S. Raman Exclusive Y graft operation for multivessel coronary revascularization Ann. Thorac. Surg., November 1, 1999; 68(5): 1612 - 1618. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
