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

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart Surgery Forum Pub Date : 2023-08-23 DOI:10.59958/hsf.5531

Yi Zhao, Xiaodi Zhang, Yang Song, Yu Xia, Derong Huang, Jian Zhang, Daxing Liu, Dengshen Zhang

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引用次数: 0

Abstract

Background: To retrospectively study the experience with application of no-touch technique in radial artery (RA)-based coronary artery bypass grafting (CABG).

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: 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: 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.

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冠状动脉旁路移植术中无接触获取桡动脉的回顾性研究。

背景:回顾性研究无接触技术在桡动脉(RA)基冠状动脉旁路移植术(CABG)中的应用经验。方法:收集2019年1月至2022年6月在遵义医学院附属医院行基于ra的多动脉冠脉搭桥(n = 45)或全动脉冠脉搭桥(n = 27)患者的临床资料。随访30 d，分析两组主要心血管事件发生率、肱前关节愈合情况及血管通畅率。结果:共收获RAs 66个，移植RAs 70个。每位患者使用的RA数量为1.46个。臂前愈合延迟1例(1.45%)。随访无死亡、脑梗死、心肌梗死或血运重建术。术后早期冠状动脉CT显示1例RA闭塞，通畅率为98.57%。结论:本研究采用的无接触RA采集技术、保存及术后处理是有效合理的，RA作为移植物应用于冠状动脉搭桥是安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart Surgery Forum 医学-外科

CiteScore

1.20

自引率

16.70%

发文量

130

审稿时长

6-12 weeks

期刊介绍： The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.