ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Luis A. Mispireta
John A. Walsh
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dumanian, G. A.
Right arrow Articles by Wilgis, E.F. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dumanian, G. A.
Right arrow Articles by Wilgis, E.F. S.

Ann Thorac Surg 1998;65:1284-1287
© 1998 The Society of Thoracic Surgeons

Radial Artery Use in Bypass Grafting Does Not Change Digital Blood Flow or Hand Function

Gregory A. Dumanian, MDa, Keith Segalman, MDa, Luis A. Mispireta, MDb, John A. Walsh, MDb, Mark F. Hendrickson, MDa, E.F. Shaw Wilgis, MDa

a Raymond Curtis Hand Center, The Union Memorial Hospital, Baltimore, Maryland, USA
b Division of Cardiothoracic Surgery, The Union Memorial Hospital, Baltimore, Maryland, USA

Accepted for publication December 12, 1997.

Address reprint requests to Dr Dumanian, Division of Plastic and Reconstructive Surgery, Northwestern University Medical School, 707 N. Fairbanks Ct, Suite 811, Chicago, IL 60611

Background. Patient selection criteria have not been clearly established for use of the radial artery as a bypass conduit. To help establish such criteria, we measured changes in digital blood flow and hand function after radial artery removal.

Methods. Ninety-eight patients of the first 122 consecutive patients considered for radial artery harvest met predetermined criteria by vascular noninvasive studies to undergo removal of the radial artery. In 42 of these 98 patients, the radial artery was actually used as a bypass conduit; 28 of these 42 patients returned for noninvasive vascular studies, a critical review of hand function, and a hand symptom questionnaire.

Results. There were no significant differences between the operated and nonoperated hands for digital–brachial indices, cold response, grip or pinch strength, digital two-point discrimination, or nine-hole peg tests. The patients had an increased incidence of a small amount of forearm numbness and tingling, but no increase of pain or cold intolerance.

Conclusions. For properly selected patients, there are minimal changes in hand function after radial artery removal.




This article has been cited by other articles:


Home page
 ICVTSHome page
L. Jaworski, P. Siondalski, K. Jarmoszewicz, and J. Rogowski
Arm temperature distribution in thermographic pictures after radial artery harvesting for coronary bypass operation
Interactive CardioVascular and Thoracic Surgery, October 1, 2007; 6(5): 598 - 602.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
S. S. Shah, J. R. Sadaba, T. J.P. Batchelor, P. Coughlin, M. T. Burniston, M. Barnfield, and C. M. Munsch
Tissue perfusion in non-donor and donor forearm/hand after radial artery harvest: 1- and 5-year follow-up
Interactive CardioVascular and Thoracic Surgery, August 1, 2006; 5(4): 353 - 355.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. R. Sajja, G. Mannam, N. R. Pantula, and S. Sompalli
Role of Radial Artery Graft in Coronary Artery Bypass Grafting
Ann. Thorac. Surg., June 1, 2005; 79(6): 2180 - 2188.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H.-S. Lee, Y. J. Heo, and B.-C. Chang
Long-term digital blood flow after radial artery harvesting for coronary artery bypass grafting
Eur. J. Cardiothorac. Surg., January 1, 2005; 27(1): 99 - 103.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H.-S. Lee, B.-C. Chang, and Y. J. Heo
Digital blood flow after radial artery harvest for coronary artery bypass grafting
Ann. Thorac. Surg., June 1, 2004; 77(6): 2071 - 2074.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. V. Riekkinen, K. O. Karkola, and A. Kankainen
The radial artery is larger than the ulnar
Ann. Thorac. Surg., March 1, 2003; 75(3): 882 - 884.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. F. Brodman, L. E. Hirsh, and R. Frame
Effect of radial artery harvest on collateral forearm blood flow and digital perfusion
J. Thorac. Cardiovasc. Surg., March 1, 2002; 123(3): 512 - 516.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. P. Taggart, M. N. Mathur, and I. Ahmad
Skeletonization of the radial artery: advantages over the pedicled technique
Ann. Thorac. Surg., July 1, 2001; 72(1): 298 - 299.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
T. A. Denton, L. Trento, M. Cohen, R. M. Kass, C. Blanche, S. Raissi, W. Cheng, G. P. Fontana, and A. Trento
Radial artery harvesting for coronary bypass operations: Neurologic complications and their potential mechanisms
J. Thorac. Cardiovasc. Surg., May 1, 2001; 121(5): 951 - 956.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
E. Rodriguez, M. L. Ormont, E. H. Lambert, L. Needleman, E. J. Halpern, J. T. Diehl, R. N. Edie, and J. D. Mannion
The role of preoperative radial artery ultrasound and digital plethysmography prior to coronary artery bypass grafting
Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 135 - 139.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.