Endoscopic versus open radial artery harvesting: A meta-analysis of randomized controlled and propensity matched studies

Journal of Cardiac Surgery
Mohamed RahoumaMario Gaudino

Abstract

We sought to investigate the impact of radial artery harvesting techniques on clinical outcomes using a meta-analytic approach limited to randomized controlled trials and propensity-matched studies for clinical outcomes, in which graft patency was analyzed. A systematic literature review was conducted using PubMed and MEDLINE to identify publications containing comparisons between endoscopic radial artery harvesting (ERAH) and open harvesting (ORAH). Only randomized controlled trials and propensity-matched series were included. Data were extracted and analyzed with RevMan. The primary endpoint was wound complication rate, while secondary endpoints were patency rate, early mortality, and long-term cardiac mortality. Six studies comprising 743 patients were included in the meta-analysis. Of them 324 (43.6%) underwent ERAH and 419 (56.4%) ORAH. ERAH was associated with a lower incidence of wound complications (odds ratio: 0.33, confidence interval 0.14-0.77; p = 0.01). There were no differences in graft patency, and early and long-term cardiac mortality between the two techniques. ERAH reduces wound complications and does not affect graft patency, or short- and long-term mortality compared to ORAH.

References

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Citations

Feb 7, 2018·Journal of Cardiac Surgery·Jeremy R LeonardStephen E Fremes
Oct 31, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Miguel Sousa-UvaMarc Ruel
Jun 4, 2019·Interactive Cardiovascular and Thoracic Surgery·Mario F GaudinoAnnarita Di Lorenzo
Aug 24, 2017·Journal of Cardiac Surgery·Harold L Lazar
Nov 24, 2017·Journal of Cardiac Surgery·Harold L Lazar
Dec 9, 2020·Interactive Cardiovascular and Thoracic Surgery·Jonathan Jin Hei LeiAmer Harky

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