A Retrospective Study of the No-Contact Technique to Obtain Radial Arteries for Coronary Artery Bypass Grafting.


Journal

The heart surgery forum
ISSN: 1522-6662
Titre abrégé: Heart Surg Forum
Pays: United States
ID NLM: 100891112

Informations de publication

Date de publication:
23 Aug 2023
Historique:
received: 14 02 2023
accepted: 24 03 2023
medline: 11 9 2023
pubmed: 8 9 2023
entrez: 7 9 2023
Statut: epublish

Résumé

To retrospectively study the experience with application of no-touch technique in radial artery (RA)-based coronary artery bypass grafting (CABG). Clinical data of patients who underwent RA-based multi- (n = 45) or full-arterial CABG (n = 27) between January 2019 and June 2022 in the Affiliated Hospital of ZunYi Medical University were collected. The incidence of main cardiovascular events at 30-day follow-up, the antebrachial union condition and the vessel patency rate were analyzed. A total of 66 RAs were harvested and 70 RAs used as grafts. The number of RA used per patient was 1.46. Delayed antebrachial union occurred in 1 patient (1.45%). There was no death, cerebral infarction, myocardial infarction or revascularization at follow-up. Early coronary computed tomography (CT) after surgery revealed occlusion in 1 RA, with the patency rate being 98.57%. The No-touch RA harvesting technique, preservation and postoperative management applied in this study are effective and rational, and the application of RA as the graft in CABG is safe.

Sections du résumé

BACKGROUND BACKGROUND
To retrospectively study the experience with application of no-touch technique in radial artery (RA)-based coronary artery bypass grafting (CABG).
METHODS METHODS
Clinical data of patients who underwent RA-based multi- (n = 45) or full-arterial CABG (n = 27) between January 2019 and June 2022 in the Affiliated Hospital of ZunYi Medical University were collected. The incidence of main cardiovascular events at 30-day follow-up, the antebrachial union condition and the vessel patency rate were analyzed.
RESULTS RESULTS
A total of 66 RAs were harvested and 70 RAs used as grafts. The number of RA used per patient was 1.46. Delayed antebrachial union occurred in 1 patient (1.45%). There was no death, cerebral infarction, myocardial infarction or revascularization at follow-up. Early coronary computed tomography (CT) after surgery revealed occlusion in 1 RA, with the patency rate being 98.57%.
CONCLUSIONS CONCLUSIONS
The No-touch RA harvesting technique, preservation and postoperative management applied in this study are effective and rational, and the application of RA as the graft in CABG is safe.

Identifiants

pubmed: 37679089
doi: 10.59958/hsf.5531
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

E358-E362

Auteurs

Yi Zhao (Y)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. zhaoyi12312022@163.com.

Xiaodi Zhang (X)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. 1932495168@qq.com.

Yang Song (Y)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. 13985261182@163.com.

Yu Xia (Y)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. 1992xiayu@163.com.

Derong Huang (D)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. 18798105417@163.com.

Jian Zhang (J)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. zhj98124@aliyun.com.

Daxing Liu (D)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. 13639222003@163.com.

Dengshen Zhang (D)

Department of Cardiovascular Surgery, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, China. xwkzd2021@163.com.

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Classifications MeSH