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):
Hendrick B. Barner
Thoralf M. Sundt, III
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 Ronan, J. W.
Right arrow Articles by Sundt, T. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ronan, J. W.
Right arrow Articles by Sundt, T. M., III

Ann Thorac Surg 2000;69:113-114
© 2000 The Society of Thoracic Surgeons

Original Articles

Radial artery harvest: comparison of ultrasonic dissection with standard technique

John W. Ronan, RNa, Loretta A. Perry, RNa, Hendrick B. Barner, MDa, Thoralf M. Sundt, III, MDa

a Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

Address reprint requests to Dr Barner, Division of Cardiothoracic Surgery, Washington University School of Medicine, 3108 Queeny Tower, One Barnes-Jewish Hospital Plaza, St. Louis, MO 63108
e-mail: barnerh{at}msnotes.wustl.edu

Background. The radial artery (RA) is used increasingly for myocardial revascularization. Having an ultrasonic dissector available in our unit, we began to use it for RA harvest with the impression that harvest spasm might be less for the new technique.

Methods. We compared RA harvest using standard techniques (21 RA) with ultrasonic dissection (41 RA) in which all branches were divided between clips with scissors in the former and bleeding branches were clipped in the latter.

Results. Harvest times were not different. Conventional technique used 74 ± 18 (mean ± standard deviation) clips versus 3.2 ± 4.3 clips (p < 0.001). In situ free flow was 17.2 ± 20.7 mL/min for conventional technique versus 52.5 ± 48.1 for ultrasonic (p < 0.001). Free flow after the proximal anastomosis to the left internal thoracic artery was 38.5 ± 60.4 mL/min for conventional technique and 50.7 ± 29.6 for ultrasonic (p = 0.008). Free flow 10 minutes after intraluminal papaverine was 78.5 ± 45.9 mL/min for usual technique versus 102.8 ± 51.7 for ultrasonic (p = 0.016). No patient required reoperation for bleeding.

Conclusions. Ultrasonic dissection of the RA is associated with decreased RA spasm, good hemostasis, no additional harvest time, and has become our standard technique.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
E. Gongora and T. M. Sundt III
Myocardial Revascularization with Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632.
[Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
E. Pektok, M. Cikirikcioglu, C. Engin, G. Daglioz, Z. Ozcan, and H. Posacioglu
Does harvesting of an internal thoracic artery with an ultrasonic scalpel have an effect on sternal perfusion?
J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 442 - 447.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. Nakajima, J. Kobayashi, O. Tagusari, K. Niwaya, T. Funatsu, A. Brik, T. Yagihara, and S. Kitamura
Graft design strategies with optimum antegrade bypass flow in total arterial off-pump coronary artery bypass
Eur. J. Cardiothorac. Surg., February 1, 2007; 31(2): 276 - 282.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
M. Cikirikcioglu and H. Posacioglu
HARMONIC SCALPEL HAS ACUTE BENEFICIAL EFFECTS DURING RADIAL ARTERY HARVESTING
Asian Cardiovasc Thorac Ann, February 1, 2006; 14(1): 89 - 90.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
O. M. Shapira, B. R. Eskenazi, E. Anter, L. Joseph, T. G. Christensen, C. T. Hunter, H. L. Lazar, J. A. Vita, R. J. Shemin, and J. F. Keaney Jr
Endoscopic versus conventional radial artery harvest for coronary artery bypass grafting: Functional and histologic assessment of the conduit
J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 388 - 394.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
A. Patel, S. Asopa, and J. Dunning
Does radial artery harvest with a harmonic scalpel result in fewer complications than standard electrocautery methods?
Interactive CardioVascular and Thoracic Surgery, February 1, 2006; 5(1): 36 - 41.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Luciani, A. Anselmi, M. Gaudino, G. Nasso, F. Glieca, L. Martinelli, F. Santarelli, M. Perisano, and G. Possati
Harmonic Scalpel Reduces Bleeding and Postoperative Complications in Redo Cardiac Surgery
Ann. Thorac. Surg., September 1, 2005; 80(3): 934 - 938.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Hata, M. Shiono, A. Sezai, M. Iida, A. Saitoh, T. Hattori, S. Wakui, M. Soeda, N. Negishi, and Y. Sezai
Determining the best procedure for radial artery harvest: Prospective randomized trial for early postharvest complications
J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 885 - 889.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. G. Affleck, H. B. Barner, M. S. Bailey, L. A. Perry, H. Maniar, S. M. Prasad, and R. J. Damiano Jr
Flow Dynamics of the Internal Thoracic and Radial Artery T-Graft
Ann. Thorac. Surg., October 1, 2004; 78(4): 1290 - 1294.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. Tagusari, J. Kobayashi, K. Bando, K. Niwaya, H. Nakajima, T. Nakatani, T. Yagihara, and S. Kitamura
Total Arterial Off-Pump Coronary Artery Bypass Grafting for Revascularization of the Total Coronary System: Clinical Outcome and Angiographic Evaluation
Ann. Thorac. Surg., October 1, 2004; 78(4): 1304 - 1311.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
F.P. Casselman, M. La Meir, G. Cammu, F. Wellens, R. De Geest, I. Degrieck, F. Van Praet, Y. Vermeulen, and H. Vanermen
Initial experience with an endoscopic radial artery harvesting technique
J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 463 - 466.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Nakajima, J. Kobayashi, O. Tagusari, K. Bando, K. Niwaya, and S. Kitamura
Competitive flow in arterial composite grafts and effect of graft arrangement in Off-Pump coronary revascularization
Ann. Thorac. Surg., August 1, 2004; 78(2): 481 - 486.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. R. Moon, H. B. Barner, M. S. Bailey, J. S. Lawton, N. Moazami, M. K. Pasque, and R. J. Damiano Jr
Long-term neurologic hand complications after radial artery harvesting using conventional cold and harmonic scalpel techniques
Ann. Thorac. Surg., August 1, 2004; 78(2): 535 - 538.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. N. Patel, A. C. Henry, C. Hunnicutt, C. A. Cockerham, B. Willey, and H. C. Urschel Jr
Endoscopic radial artery harvesting is better than the open technique
Ann. Thorac. Surg., July 1, 2004; 78(1): 149 - 153.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Rukosujew, R. Reichelt, A. M. Fabricius, G. Drees, T. D. T. Tjan, M. Rothenburger, A. Hoffmeier, H. H. Scheld, and C. Schmid
Skeletonization versus pedicle preparation of the radial artery with and without the ultrasonic scalpel
Ann. Thorac. Surg., January 1, 2004; 77(1): 120 - 125.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Maruo, C. E. Hamner, A. J. Rodrigues, T. Higami, J. F. Greenleaf, and H. V. Schaff
Nitric oxide and prostacyclin in ultrasonic vasodilatation of the canine internal mammary artery
Ann. Thorac. Surg., January 1, 2004; 77(1): 126 - 132.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. W. Connolly, L. D. Torrillo, M. J. Stauder, N. U. Patel, J. C. McCabe, D. F. Loulmet, and V. A. Subramanian
Endoscopic radial artery harvesting: results of first 300 patients
Ann. Thorac. Surg., August 1, 2002; 74(2): 502 - 506.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
Z. S. Meharwal and N. Trehan
Routine Use of the Radial Artery for Coronary Artery Revascularization
Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 20 - 24.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Z. Galajda, I. Szentkiralyi, and A. Peterffy
Neurologic complications after radial artery harvesting
J. Thorac. Cardiovasc. Surg., January 1, 2002; 123(1): 194 - 195.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
P. Lamm, G. Juchem, A. Schutz, and B. Reichart
Is the harmonic scalpel feasible in cardiac reoperations?
Ann. Thorac. Surg., December 1, 2001; 72(6): 2185 - 2185.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Z. S. Meharwal and N. Trehan
Functional status of the hand after radial artery harvesting: results in 3,977 cases
Ann. Thorac. Surg., November 1, 2001; 72(5): 1557 - 1561.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. L. Quigley, S. J. Weiss, R. Y. Highbloom, and J. Pym
Creative arterial bypass grafting can be performed on the beating heart
Ann. Thorac. Surg., September 1, 2001; 72(3): 793 - 797.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. CikirikcioGlu, M. Yasa, Z. Kerry, H. PosacioGlu, M. BoGa, T. YaGdi, N. TopcuoGlu, S. Buket, and A. Hamulu
The effects of the Harmonic Scalpel on the vasoreactivity and endothelial integrity of the radial artery: A comparison of two different techniques
J. Thorac. Cardiovasc. Surg., September 1, 2001; 122(3): 624 - 626.
[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 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 © 2000 by The Society of Thoracic Surgeons.