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Endoscopic Radial Artery Harvesting: Long-Term Results and Graft Patency Rate.
MedLine Citation:
PMID:  22840603     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Endoscopic vessel harvesting is a minimally invasive technique that is often used with coronary artery bypass grafting. There are some reports on long-term results of endoscopic vein harvesting; however, there are few reports on endoscopic artery harvesting. We assessed the long-term results and efficacy of the endoscopic radial artery (RA) harvesting (ERAH) technique. METHODS: During the last 10 years, 259 isolated off-pump coronary artery bypass operations were performed using RAs. Outcomes in 145 patients who underwent ERAH were compared with 109 patients who underwent traditional open RA harvesting (ORAH). Two risk-adjusted groups of 55 patients each were also compared. RESULTS: The risk-adjusted preoperative conditions between the ERAH and ORAH groups were similar (European System for Cardiac Operative Risk Evaluation: 4.4 vs 4.2). The mean number of distal coronary anastomoses was similar (3.9 vs 3.8). Total operation time was longer in the ERAH group (5.3 vs 4.8 hours; p = 0.002). Longer RA grafts could be harvested in the ERAH than in the ORAH group (18.2 vs 16.6 cm; p < 0.001). There were no major ERAH-associated complications, and fewer surgical site infections occurred (p = 0.028). There were no significant differences in the 3-year survival (94.6% vs 95.9%), cardiac death-free survival (100% vs 97.9%), cardiac event-free (90.1% vs 92.0%), and 3-year patency (98.0% vs 92.6%) rates. CONCLUSIONS: ERAH reduced infections and neurologic complications related to surgical incisions and provided long-term follow-up results, including the graft patency rate, that were equivalent to or better than those of ORAH. Therefore, ERAH is recommended as the preferred technique for RA harvesting.
Authors:
Nobuhisa Ito; Go Kuwahara; Yuta Sukehiro; Hiromitsu Teratani
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-26
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  -     ISSN:  1552-6259     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan.
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