No Late Ulnar Artery Atheroma After Radial Artery Harvest for Coronary Artery Bypass Surgery

Royse, Alistair; Chang, Greg; Nicholas, Danielle; Royse, Colin

doi:10.1016/j.athoracsur.2007.10.064

Cited by 14 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is also significantly higher prevalence of atherosclerotic plaques in the ulnar artery of the operated versus control arm [68]. In a recent, larger series this effect was not observed [69].…”

Section: Radial Artery Harvestmentioning

confidence: 92%

Radial Artery Cannulation: A Systemic Review

2013

J Anesthe Clinic Res

View full text Add to dashboard Cite

The radial artery is the most commonly used arterial access site for monitoring arterial pressure or obtaining blood gas analysis, since it is easy to puncture and to acquire haemostasis. Transradial cannulation failures can be due to failure to puncture the artery, radial artery spasm, hypotension or anatomic variations of radial-brachialaxillary-subclavian artery axis or of the aortic arch. This article reviews the anatomy and anatomic variations of the upper limb vasculature and gives up-to-date information on the anestesiological, surgical and interventional applications of radial artery cannulation and radial artery harvest. Figure 1: Aortography shows an I type aortic arch (Picture 1A.) and normal subclavian artery with its branches on angiography. J o u rn al of A n e s th es ia & C li n ic a l Resea rc h

show abstract

Section: Radial Artery Harvestmentioning

confidence: 92%

Radial Artery Cannulation: A Systemic Review

2013

J Anesthe Clinic Res

View full text Add to dashboard Cite

show abstract

“…Su conclusión final fue que el flujo de sangre de los antebrazos y la mano no se vio comprometido por la disección de la arteria radial. Otro punto a favor del uso del árbol vascular de la arteria radial es la conclusión en otra publicación 8 donde expresa la ausencia de placas de ateromas y la preservación del flujo de sangre del antebrazo y la mano luego de un seguimiento promedio de ocho años.…”

Section: Tabla Comparación Estadística De Variables En Ambas Manosunclassified

Impacto de la perfusión en la mano por sacrificio de la arteria radial. [Impact of radial artery sacrifice in hand perfusion.]

Breglia

Quiroga

Fracalossi

et al. 2017

Rev. Asoc. Arg. Ort. y Traumatol

View full text Add to dashboard Cite

ResumenIntroducción: El ortopedista se enfrenta a situaciones donde impera el sacrificio de la arteria radial, ya sea en el uso del árbol arterial radial como donante de tejido vascularizado o en situaciones donde la arteria radial es lesionada. El objetivo de este estudio fue determinar los cambios morfológicos y funcionales en la circulación de la mano luego del sacrificio de la arteria radial. Materiales y Métodos: Se realizó un estudio de corte transversal sobre la base de una revisión de historias clínicas de 41 pacientes de ambos sexos, sometidos a cirugía de revascularización miocárdica a quienes se les resecó la arteria radial para ser utilizada como injerto. Los pacientes fueron evaluados mediante ecografía bidimensional y Doppler comparativa de ambos antebrazos, oximetría de pulso del dedo índice de ambas manos en reposo y estrés por ejercicio, y centellografía de ambos miembros superiores en reposo y estrés. Se constataron los síntomas y signos subjetivos de intolerancia al frío y en situación de estrés luego del ejercicio. Los resultados fueron valorados estadísticamente. Resultados: Solo dos pacientes (4,8%) tuvieron síntomas de claudicación de la mano operada durante actividades intensas. La valoración comparativa de ambas manos por oximetría de pulso y de perfusión por centellografía no arrojó diferencias estadísticamente significativas. La diferencia fue estadísticamente significativa en la medición ecográfica del diámetro de ambas arterias cubitales. Conclusión: La perfusión de la mano luego del sacrificio de la arteria radial no se ve comprometida.Palabras clave: Colgajo; arteria radial; mano; vascularización. Nivel de Evidencia: IV Impact of radial artery sacrifice in hand perfusion AbstractIntroduction: Orthopedists face situations in which the radial artery is sacrificed, either for its use as donor of vascularized tissue for coverage of soft tissue defects or in situations where the radial artery is injured. The aim of this study was to determine the morphological and/or functional changes in hand circulation after the radial artery is sacrificed. Methods: A cross-sectional study was conducted based on the review of medical records of 41 patients of both sexes who underwent cardiac revascularization surgery in which a radial artery graft was used. Patients were evaluated using twodimensional and Doppler ultrasound comparing both forearms, index finger pulse oximetry of both hands at rest and after stress, and scintigraphy of both upper limbs at rest and after stress. Statistical evaluation was performed.Impacto del sacrificio de la arteria radial en la perfusión de la mano Results: Only two patients (4.8%) had symptoms of hand claudication during intense activities. Comparative assessment of both hands by pulse oximetry and perfusion scintigraphy yielded no statistically significant difference. There was a statistically significant difference in ultrasound measurement of the diameter of both ulnar arteries. Conclusion: Perfusion of the hand after the sacrifice of the radial artery is not co...

show abstract

“…Subsequent observations have not found evidence to support this contention but rather appropriate ulnar remodeling, resting flow increase and preservation of flow mediated vasodilation, an indicator of endothelial health [34,35]. …”

Section: Radial Arterymentioning

confidence: 99%

Conduits for Coronary Bypass: Arteries Other Than the Internal Thoracic Artery's

Barner

2013

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

This is the third in a series on coronary artery bypass which reviews three alternative arterial conduits. The radial artery has become the most widely used of the three and accumulating experience demonstrates better patency at 10 years versus saphenous vein. Drawbacks are a long incision on the forearm, the propensity for spasm and persistent sensory disturbance in about 10%. The first is answered by endoscopic harvest which may yield a shorter conduit but reduces sensory nerve injury. Spasm is managed pharmacologically and by less harvest trauma. The gastroepiploic artery is used in situ and free and although the abdominal cavity is entered complications are minimal and patency compares favorably with the radial artery. Use of the inferior epigastric artery remains minimal and its similar length often requires composite use but limited patency data are supportive. Other arteries have had rare use and this is unlikely to change because the three presented here have significant advantages and acceptance.

show abstract

No Late Ulnar Artery Atheroma After Radial Artery Harvest for Coronary Artery Bypass Surgery

Cited by 14 publications

References 14 publications

Radial Artery Cannulation: A Systemic Review

Radial Artery Cannulation: A Systemic Review

Impacto de la perfusión en la mano por sacrificio de la arteria radial. [Impact of radial artery sacrifice in hand perfusion.]

Conduits for Coronary Bypass: Arteries Other Than the Internal Thoracic Artery's

Contact Info

Product

Resources

About