Literature DB >> 16133663

Comparative study of harvest-site complications following coronary artery bypass grafting between the radial artery and the saphenous vein in identical patients.

Mitsumasa Hata1, Motomi Shiono, Akira Sezai, Mitsuru Iida, Akira Saitoh, Tsutomu Hattori, Shinji Wakui, Masao Soeda, Nanao Negishi, Yukiyasu Sezai.   

Abstract

PURPOSE: The aim of this study was to assess the early outcome for complications associated with the radial artery harvest site, in comparison to using the saphenous vein, in patients harvested for both vessels.
METHODS: During the last 2 years, 134 radial arteries were used in 133 patients, and the saphenous vein was also concomitantly used in 94 patients. We assessed the post-harvest forearm perception using a questionnaire that contained two statements regarding pain and numbness in those 94 patients. The incidences of the harvest-site hematoma and infection were also compared between both the arms and legs where the grafts were harvested.
RESULTS: Numbness of the harvest site was indicated in 26.6% (radial artery) and 33.0% (saphenous vein), respectively (P = 0.4252). Hematoma was found in 6.4% and 12.8%, respectively (P = 0.2152). On the other hand, the incidences of pain and wound infection were significantly lower in the radial artery sites (pain: 1.1% vs 23.4%, P = 0.0002; infection: 2.1% vs 11.7%, P = 0.0182).
CONCLUSIONS: Our early experience suggests that the use of the radial artery is safe and also demonstrates a lower incidence of harvest-site complications than saphenous vein harvesting in patients where both vessels are used as harvest sites.

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Year:  2005        PMID: 16133663     DOI: 10.1007/s00595-005-3033-4

Source DB:  PubMed          Journal:  Surg Today        ISSN: 0941-1291            Impact factor:   2.549


  11 in total

1.  Permanent nerve injury in the forearm following radial artery harvest: a report of two cases.

Authors:  J A Arons; N Collins; M S Arons
Journal:  Ann Plast Surg       Date:  1999-09       Impact factor: 1.539

2.  Risk factors for radial artery harvest site infection following coronary artery bypass graft surgery.

Authors:  W E Trick; W E Scheckler; J I Tokars; K C Jones; E M Smith; M L Reppen; W R Jarvis
Journal:  Clin Infect Dis       Date:  2000-02       Impact factor: 9.079

3.  Prevalence of leg wound complications after coronary artery bypass grafting: determination of risk factors.

Authors:  M A Goldsborough; M H Miller; J Gibson; S Creighton-Kelly; C A Custer; J M Wallop; P S Greene
Journal:  Am J Crit Care       Date:  1999-05       Impact factor: 2.228

4.  Leg wound infections associated with coronary revascularization.

Authors:  S W Wong; D Fernando; P Grant
Journal:  Aust N Z J Surg       Date:  1997-10

5.  Total myocardial revascularization with arterial conduits: radial artery combined with internal thoracic arteries.

Authors:  E E Weinschelbaum; E D Gabe; A Macchia; R Smimmo; L D Suárez
Journal:  J Thorac Cardiovasc Surg       Date:  1997-12       Impact factor: 5.209

6.  Post harvest wound infection and patient's perception: comparative study between radial artery and saphenous vein harvest sites.

Authors:  Mitsumasa Hata; Jai Raman; George Matalanis; Alexander Rosalion; Meg Storer; David Hare; Brian F Buxton
Journal:  Ann Thorac Cardiovasc Surg       Date:  2002-04       Impact factor: 1.520

7.  Reduction of leg wound infections following coronary artery bypass surgery.

Authors:  J C Mullen; M J Bentley; K Mong; R Karmy-Jones; G Lemermeyer; E T Gelfand; A Koshal; D L Modry; P A Penkoske
Journal:  Can J Cardiol       Date:  1999-01       Impact factor: 5.223

8.  Revival of the radial artery for coronary artery bypass grafting.

Authors:  C Acar; V A Jebara; M Portoghese; B Beyssen; J Y Pagny; P Grare; J C Chachques; J N Fabiani; A Deloche; J L Guermonprez
Journal:  Ann Thorac Surg       Date:  1992-10       Impact factor: 4.330

9.  Frequency, manifestations, and correlates of impaired healing of saphenous vein harvest incisions.

Authors:  D D Wipke-Tevis; N A Stotts; P Skov; V Carrieri-Kohlman
Journal:  Heart Lung       Date:  1996 Mar-Apr       Impact factor: 2.210

10.  Radial artery and inferior epigastric artery in composite grafts: improved midterm angiographic results.

Authors:  A M Calafiore; G Di Giammarco; G Teodori; E D'Annunzio; G Vitolla; C Fino; N Maddestra
Journal:  Ann Thorac Surg       Date:  1995-09       Impact factor: 4.330

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  1 in total

Review 1.  Vein Grafts in Free Flap Reconstruction: Review of Indications and Institutional Pearls.

Authors:  Hannah C Langdell; Ronnie L Shammas; Andrew Atia; Edward I Chang; Evan Matros; Brett T Phillips
Journal:  Plast Reconstr Surg       Date:  2022-03-01       Impact factor: 4.730

  1 in total

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