Patency rates of endoscopically harvested radial arteries one year after coronary artery bypass grafting

Bleiziffer, Sabine; Hettich, Ina; Eisenhauer, B; Ruzicka, Daniel J.; Hausleiter, Jörg; Martinoff, Stefan; Lange, Rüediger

doi:10.1055/s-2007-967272

Cited by 3 publications

(3 citation statements)

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“…When an open CO 2 system is utilized, two studies [37,38] showed a similar graft patency between the conventional and endoscopic techniques at both mid and long-term follow-up.…”

Section: Graft Occlusionmentioning

confidence: 84%

Endoscopic vessel harvesting

Bisleri

Moggi²,

Muneretto³

2013

Current Opinion in Cardiology

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Endoscopic conduit harvesting is a well-tolerated and effective procedure. The majority of scientific reports depicted that the minimally invasive approach does not compromise the quality of the harvested conduits and therefore does not lead to a higher incidence of graft failure or cardiac-related events in the mid-long term. The endoscopic technique should be the approach of choice for saphenous vein and radial artery procurement in CABG surgery; recent technical and technological advancements could further improve outcomes.

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“…When an open CO 2 system is utilized, two studies [37,38] showed a similar graft patency between the conventional and endoscopic techniques at both mid and long-term follow-up.…”

Section: Graft Occlusionmentioning

confidence: 84%

Endoscopic vessel harvesting

Bisleri

Moggi²,

Muneretto³

2013

Current Opinion in Cardiology

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“…Assessment of one-year graft patency using 64-slice computer tomography showed no differences between ERAH and ORAH groups (78% vs. 76%) (ref. 24 ). Although, several harvesting systems are employing for ERAH, there are no data comparing the influence on bipolar electrocauthery, harmonic scalpel or direct current on the conduit quality used for branch division in each system.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience

Šimek¹,

Marcián²,

Gwozdziewicz³

et al. 2013

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aim. We sought to evaluate our experience with endoscopic radial artery harvesting for coronary artery bypass grafting (CABG). Methods. From October 2005 to June 2010, 50 patients who underwent endoscopic radial artery harvesting for an elective CABG were prospectively assessed for harvesting characteristics, complications, postoperative and mid-term outcomes.Results. There were 34 (68%) males and 16 (32%) females, average age 60.8±9.2 years. All but two RA grafts (96%) were successfully harvested endoscopically. Mean harvesting time was 46.2±9.3 min and mean length of harvested grafts was 23.4±2.2 cm. In the post-operative period there were no wound-healing complications; residual forearm edema was recorded in 6 patients (12%) and peripheral neuropathy in 4 patients (8%). At 3 months after the surgery, peripheral neuropathy and residual edema persisted in 2 patients (4%). A significant drop of overall harvesting time (56.2± 18.6 vs. 38.6±8.6 min, P<0.05) and forearm ischemia time (41.8±12.7 vs. 24.2±3.2 min, P<0.01) was found between first and last ten cases in the group. Conclusion. Endoscopic radial artery harvesting was associated with low risk of post-harvesting complications and most of these disappeared within a 3 months follow-up. However, there was a significant learning curve.

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“…However, harvesting the RA as a pedicle with harmonic scalpel appears to be less injurious than using electrocautery for tissue dissection [140]. Patency rates are similar regardless of method of harvesting [142].…”

Section: Radial Arterymentioning

confidence: 99%