Skeletonized harvesting improves the early-term and mid-term perfect patency of a radial artery graft

被引：6

作者：

Miyagi N. ^{[1
,3
]}

Oshima N. ^{[1
]}

Shirai T. ^{[1
]}

Sunamori M. ^{[2
]}

机构：

[1] Department of Thoracic Surgery, Ome Municipal General Hospital, Tokyo

[2] Thoracic Cardiovascular Surgery Department, Tokyo Medical and Dental University, Tokyo

[3] Cardiac Transplantation Research, Mayo Clinic, Medical Science Building, Rochester, MN 55905

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2006年 / 54卷 / 11期

关键词：

Coronary artery bypass grafting; Patency; Radial artery graft; Skeletonized harvesting;

D O I：

10.1007/s11748-006-0038-x

中图分类号：

学科分类号：

摘要：

Objective. A radial artery (RA) graft is frequently used for coronary artery bypass grafting (CABG), but little information exists regarding the early- and mid-term patency associated with the harvesting procedure. The objective of this study is to compare the early- and mid-term patency of the RA graft obtained using non-skeletonized and skeletonized harvesting. Methods. Altogether, 131 patients and 159 anastomoses were studied. In 85 patients the RA was harvested non-skeletonized (group A: procedures between September 2000 and November 2002), whereas in 46 patients the RA was harvested skeletonized (group B: procedures between November 2002 and April 2004). Angiography results were analyzed before discharge [A: postoperative day (POD) 14.7 ± 2.9, 75 patients, 90 anastomoses; B: POD 13.7 ± 1.9, 38 patients, 47 anastomoses], and after 1 year (A: POD 386.8 ± 149.3, 44 patients, 51 anastomoses; B: POD 267.1 ± 148.7, 11 patients, 13 anastomoses). Results. There was no difference in patency between the two groups (group A vs group B, 96.7% vs 100%, P = not significant [NS], in the early-term, 96.2% vs 100%, P = NS, in the mid-term). However, the perfect patency rates for groups A and B were 86.7% and 98.1%, respectively, in the early-term (P = 0.034) and 77.5% and 100%, respectively, in the mid-term (P = 0.048). The location and severity of the target vessel did not influence the angiographic results. Conclusion. The early- and mid-term patency of RA grafts was excellent, and skeletonized harvesting improved the perfect patency rates at both time points. © The Japanese Association for Thoracic Surgery 2006.

引用

页码：472 / 476

页数：4

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