PMID: 11899184Mar 20, 2002Paper

Morbidity after procurement of radial arteries in diabetic patients and the elderly undergoing coronary revascularization

The Annals of Thoracic Surgery
V Seenu ReddyPaul A Chang

Abstract

The use of radial arteries for coronary revascularization is increasing. There remain concerns regarding alteration of upper extremity function after radial artery procurement. This study evaluates the functional morbidity in higher risk patients. Between April 1997 and September 1999, 374 patients underwent unilateral or bilateral radial artery procurement. A questionnaire was used to evaluate symptoms related to motor and sensory function and changes in appearance after radial artery harvest. Two hundred eighty-nine patients were successfully interviewed. The average age was 63 years. Median follow-up was 9.5 months (range, 2 to 23 months). No patient suffered limb loss. Altered gross and fine motor function, residual pain, paresthesias, numbness, pallor, swelling, and altered temperature sensation were compared among diabetic patients, patients older than 70 years, and patients without these characteristics. Radial artery procurement for elective coronary revascularization can be done with minimal serious morbidity in higher risk patients. The most common symptoms were numbness and paresthesia. Despite the finding of greater residual pain in diabetic patients, we do not believe the use of radial artery conduits is contraindi...Continue Reading

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Citations

Jun 28, 2003·The Journal of Thoracic and Cardiovascular Surgery·Brian F BuxtonDavid L Hare
Jul 21, 2004·The Heart Surgery Forum·Yanai Ben GalJacob Lavee
Nov 15, 2005·The Heart Surgery Forum·Dimitrios BuklasMassimo Massetti
Dec 3, 2014·The Annals of Thoracic Surgery·Mario GaudinoMassimo Massetti
Feb 7, 2018·Journal of Cardiac Surgery·Jeremy R LeonardStephen E Fremes
Nov 19, 2004·Journal of Cardiac Surgery·Stavros SiminelakisGeorge Drossos

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