Radial artery patency and clinical outcomes: five-year interim results of a randomized trial

Buxton, Brian F.; Raman, Jai; Ruengsakulrach, Permyos; Gordon, Ian; Rosalion, Alexander; Bellomo, Rinaldo; Horrigan, Mark; Hare, David

doi:10.1016/s0022-5223(02)73241-8

Cited by 191 publications

(123 citation statements)

References 38 publications

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“…5,6 ). Although, a number of observational studies have demonstrated the superiority of RA in terms of better patency and clinical outcome, randomized trials suggested only better angiographic results of RA in 1-year and 5-year follow-up with no difference in clinical outcome [5][6][7][8][9][10][11] . Moreover, dealing with less tight coronary lesions (<80%), particularly in the right coronary artery territory, and with the group of patients 70+, use of RA did not carry any benefit of importance over GSV (ref.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…Moreover, dealing with less tight coronary lesions (<80%), particularly in the right coronary artery territory, and with the group of patients 70+, use of RA did not carry any benefit of importance over GSV (ref. 10,11 ). RA harvesting performed through an uninterrupted incision in Reyes's modification is simple, quick, and safe No.…”

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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“…The other randomized controlled clinical trial was performed by Buxton et al [31] in 2003. These authors recruited 438 patients who were randomized in two groups.…”

Section: Discussionmentioning

confidence: 99%

“…Studies from Category D were excluded from this systematic review. Two studies were classified in Category A (Dessai et al, 2004; Buxton et al, 2003) [29,30] and one study was classified as Category B (Muneretto et al, 2004) [31].…”

Section: Methodological Quality Of the Included Studiesmentioning

confidence: 99%

<![CDATA[<B>Radial artery versus saphenous vein to myocardial revascularization</B>: <B>meta-analysis (there is no statistically significant difference)</B>]]>

Locali¹,

Buffolo²,

Catani³

2006

Braz. j. cardiovasc. surg.

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Artéria radial versus veia safena para revascularização do miocárdio: metanálise (não houve diferença estatisticamente significante)Radial artery versus saphenous vein to myocardial revascularization: meta-analysis (there is no statistically significant difference) AbstractObjective: To compare the effectiveness of the radial artery graft with the saphenous vein graft for myocardial revascularization in association with the internal thoracic artery.Methods: A systematic review of the literature was made, searching for articles in the MEDLINE and LILACS databases. Two independent researchers performed the selection of articles, carefully evaluating the methodology described in articles considered relevant to the subject. Only controlled trials with an adequate randomization system were included. In all situations, when the researchers did not reach an agreement, a consensus meeting was held. No restrictions were stipulated in respect to the follow-up period for the angiographic evaluation of the graft, the vessel treated or the characteristics of the patients included in the studies. The results are expressed as Relative Risks (RR), with 95% Confidence Intervals (CI) to compare the effectiveness between the radial artery and the saphenous vein.Results: Based on these criteria, three studies were included. We did not find statistical differences between the patencies of the grafts (RR 0.53 [95% IC 0. -2.18]).Conclusion: Despite the studies having good methodologies we did not observe statistically significant differences between the grafts. The statistical power of the meta-analysis is low and therefore, more randomized controlled trials are necessary, with adequate sample sizes to detect possible differences between the different treatments.Descriptors: Radial artery. Saphenous vein. Myocardial revascularization. Meta-analysis. 256LOCALI, RF ET AL -Radial artery versus saphenous vein to myocardial revascularization: meta-analysis (there is no statistically significant difference) Braz J Cardiovasc Surg 2006; 21(3): 255-261

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“…The Radial Artery Patency and Clinical Outcome (RAPCO) study, was undertaken to compare angiographic patency and cardiac-event-free survival of the RA graft with that of the free RITA and SV during a 10-year period after CABG [55].…”

Section: The Radial Artery (Ra)mentioning

confidence: 99%

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

Molardi¹,

Benassi²,

Nicolini³

et al. 2013

WJCD

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The burden of diseases associated with diabetes mellitus is dramatic: adults with diabetes mellitus are 2 to 4 times more likely to have cardiovascular diseases than those without it, and at least 65% will die because of diabetes complications. The revascularization strategy in these types of patients included percutaneous coronary interventions with bare metal stents or medicated stents and surgical coronary artery bypass grafting (CABG), but it is well known that in the diabetic patient with two or more vessel disease, the surgical strategy allows the best mid-and longterm results. Moreover, benefits of CABG surgery are limited by life expectancy of the most common type of graft, the saphenous vein (SV). Nearly 40 years after the introduction of bypass surgery, the rate of vein graft failure remains at high levels. Several arterial conduits had been studied as alternative conduits to SV: the Right Internal Thoracic Artery (RITA), the Radial Artery (RA), the Gastroepiploic Artery (GEA) and the Inferior Epigastric Artery (IEA), 40 years ago. The aim of our article is to review the scientific literature of the past 15 years to answer this question: are we ready to treat the diabetic patient, with a completely arterial revascularization, avoiding the use of the great saphenous vein grafts?

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Radial artery patency and clinical outcomes: five-year interim results of a randomized trial

Abstract: The 5-year interim results do not support the hypothesis that the radial artery has superior patency to or is associated with fewer clinical events than free right internal thoracic artery or saphenous vein grafts.

Cited by 191 publications

References 38 publications

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

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

<![CDATA[<B>Radial artery versus saphenous vein to myocardial revascularization</B>: <B>meta-analysis (there is no statistically significant difference)</B>]]>

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

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