Harvesting the Radial Artery: Does It Affect Early Postoperative Hand Function?

2005 ◽  
Vol 6 (2) ◽  
pp. 12 ◽  
Author(s):  
R. A. Sankey ◽  
A. P. Rumian ◽  
W. Jackson ◽  
M. Osborne ◽  
R. DeL. Stanbridge
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Radial Artery ◽  
Artery Bypass ◽  
Hand Function ◽  
Fine Motor ◽  
Bypass Grafting ◽  
Significant Difference ◽  
Grip Power

<P>Background: The radial artery (RA) is increasingly being used as a conduit for coronary artery bypass grafting. Previous studies have demonstrated that there is no significant deterioration in hand function in the long term. The aim of this study was to assess whether removal of the RA caused any alteration in the function or power of the hand 5 days postoperatively that would affect the patient's ability for self care on returning home. </P><P>Methods: A consecutive series of 37 patients undergoing RA harvesting was assessed over a period of 12 months from August 2000 to July 2001 as part of a prospective controlled trial. Grip power and fine motor skills in the operated hand were assessed preoperatively with an elasticated grip strength tester and an 18-hole peg board. This test was repeated 5 days postoperatively. The results were analyzed with a paired-sample t test to assess whether there was a significant difference between preoperative and postoperative hand function. </P><P>Results: The analysis showed that there was no statistically significant difference in fine motor function or grip power following surgery to harvest the RA. </P><P>Conclusion: This study provides evidence to suggest that the RA can be safely harvested for use as a conduit in coronary artery bypass grafting, with no significant short-term deterioration in hand function.</P>

Forearm and Hand Function after Radial Artery Harvest for Coronary Artery Bypass Grafting: Subjective Patients’ Assessment

2016 ◽  
Vol 19 (4) ◽  
pp. 198
Author(s):  
Anna Drohomirecka ◽  
Paweł Kwinecki ◽  
Witold Gwóźdź ◽  
Mariusz Mieczyński ◽  
Piotr Stępiński ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Radial Artery ◽  
Artery Bypass ◽  
Hand Function ◽  
Myocardial Revascularization ◽  
Bypass Grafting ◽  
Life Activity ◽  
Artery Bypass Grafting

<strong>Background:</strong> As arterial myocardial revascularization is proved to provide great results, radial artery use as a graft and its consequences remain an important issue.<br />Objectives: The aim of the study was to evaluate how patients assess their forearm and hand function after radial artery harvest for coronary artery bypass grafting (CABG).<br /><strong>Methods:</strong> 50 patients (mean age 52.2 ± 7.4 years) who underwent CABG at least 6 months (median follow up <br />11.75 months) earlier filled in a questionnaire concerning hand and forearm efficiency and discomfort.<br /><strong>Results:</strong> The global efficiency of the operated upper extremity was scored mean 8.87 ± 1.26 points on a 10-point scale and it was worse in patients who noticed at least one sort of disorder than in patients with no problems (8.6 ± 1.4 versus 9.4 ± 0.7 points; P = .04). Paresthesias were the most often reported disorders; 21 patients felt some tingling and/or numbness, but in only 14 (28%) could the symptoms be considered as related to the operation. 20 patients (40%) declared that they felt some scar-related discomfort. Reduced grip strength and excessive hand fatigue were reported by 20% and 10% of patients, respectively. None of those interviewed answered that symptoms reported affected his or her life activity on any level.<br /><strong>Conclusion:</strong> The hand and forearm efficiency after radial artery harvest for CABG was highly evaluated by the majority of patients. Despite the fact that many patients reported some surgery-related problems, they did not notice extremity dysfunction that could limit their life activity.

scholarly journals The Impact of Lung Ventilation on Some Cytokines after Coronary Artery Bypass Grafting

2016 ◽  
Vol 106 (1) ◽  
pp. 87-93 ◽  
Author(s):  
V. Toikkanen ◽  
T. Rinne ◽  
R. Nieminen ◽  
E. Moilanen ◽  
J. Laurikka ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Radial Artery ◽  
Artery Bypass ◽  
Lung Ventilation ◽  
Interleukin 10 ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Background and Aims: Cardiopulmonary bypass induces a systematic inflammatory response, which is partly understood by investigation of peripheral blood cytokine levels alone; the lungs may interfere with the net cytokine concentration. We investigated whether lung ventilation influences lung passage of some cytokines after coronary artery bypass grafting. Material and Methods: In total, 47 patients undergoing coronary artery bypass grafting were enrolled, and 37 were randomized according to the ventilation technique: (1) No-ventilation group, with intubation tube detached from the ventilator; (2) low tidal volume group, with continuous low tidal volume ventilation; and (3) continuous 10 cm H2O positive airway pressure. Ten selected patients undergoing surgery without cardiopulmonary bypass served as a referral group. Representative pulmonary and radial artery blood samples were collected for the evaluation of calculated lung passage (pulmonary/radial artery) of the pro-inflammatory cytokines (interleukin 6 and interleukin 8) and the anti-inflammatory interleukin 10 immediately after induction of anesthesia (T1), 1 h after restoring ventilation/return of flow in all grafts (T2), and 20 h after restoring ventilation/return of flow in all grafts (T3). Results: Pulmonary/radial artery interleukin 6 and pulmonary/radial artery interleukin 8 ratios ( p = 0.001 and p = 0.05, respectively) decreased, while pulmonary/radial artery interleukin 10 ratio ( p = 0.001) increased in patients without cardiopulmonary bypass as compared with patients with cardiopulmonary bypass. Conclusions: The pulmonary/radial artery equation is an innovative means for the evaluation of cytokine lung passage after coronary artery bypass grafting. The mode of lung ventilation has no impact on some cytokines after coronary artery bypass grafting in patients treated with cardiopulmonary bypass.

scholarly journals Radial artery as a conduit for coronary artery bypass grafting: a state-of-the-art primer

2018 ◽  
Vol 54 (6) ◽  
pp. 971-976 ◽  
Author(s):  
Miguel Sousa-Uva ◽  
Mario Gaudino ◽  
Thomas Schwann ◽  
Christophe Acar ◽  
Francesco Nappi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Radial Artery ◽  
State Of The Art ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting
Sign in / Sign up

Export Citation Format

Share Document