Endoscopic radial artery harvest for coronary artery bypass surgery

Journal of the Formosan Medical Association = Taiwan Yi Zhi
Kuan-Ming ChiuShu-Hsun Chu

Abstract

Coronary artery bypass grafting (CABG) provides better long-term patency than percutaneous intervention in patients with significant coronary artery disease. The radial artery is the second most common arterial conduit used for CABG in Western countries. However, radial artery harvesting necessitates a large surgical wound and has gained few patients' acceptance in subtropical areas. This study investigated the use of the minimally invasive approach of endoscopic radial artery harvest for CABG, and the surgical results at the harvest site. An endoscopic harvest program for radial arteries was implemented in this hospital in September 2003. During the first 12 months of the program until September 2004, 122 patients underwent the procedure. Preoperative evaluation included Allen's test and the modified palmar arch perfusion test. The age of patients ranged from 32 to 88 years old. Patients were excluded from participation if they had undergone recent transradial catheterization, had end-stage renal disease or documented peripheral artery occlusive disease. The VasoView system was utilized for the procedure. Details of the surgical techniques used were recorded and analyzed. Using the endoscopic technique, 122 radial arteries wer...Continue Reading

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Citations

Oct 5, 2013·The Annals of Thoracic Surgery·Syed M RehmanDavid P Taggart
Jan 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Nicholas BurrisRobert Poston
Apr 14, 2007·Acta Anaesthesiologica Scandinavica·N Eipe

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