| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2004;78:539-542
© 2004 The Society of Thoracic Surgeons
a Department of Cardiac Surgery, The Royal Melbourne Hospital, Melbourne, Australia
b department of Anaesthesia and Pain Management, University of Melbourne, Melbourne, Australia
c department of Pharmacology, University of Melbourne, Melbourne, Australia
Accepted for publication February 17, 2004.
* Address reprint requests to Dr Royse, PO Box 2135, The Royal Melbourne Hospital, Victoria, Australia, 3050
e-mail: alistair.royse{at}mh.org.au
BACKGROUND: Use of the radial artery as a conduit for coronary artery surgery has increased dramatically. It has been assumed that blood flow to the forearm will not be compromised by its removal.
METHODS: Sixteen patients who had the left radial artery harvested for coronary surgery at least 3 months earlier were studied. The right radial artery was not harvested. The radial, ulnar, and brachial artery diameters and flows were measured using pulsed wave Doppler with a 15-MHz linear array transducer. Measurements were performed at rest, with the right radial artery compressed, and after ischemia with forearm exercise.
RESULTS: At rest, the (mean ± SE) diameter of the left ulnar artery was consistently greater than the right (2.4 ± 0.09 versus 2.1 ± 0.09 mm, p = 0.001) as was flow (74 ± 9.9 versus 48 ± 8.5 mL/min, p = 0.005). There was no difference between diameters or flows in the brachial arteries. After compression of the radial artery, flow increased in the right ulnar artery from 39 ± 8.0 to 72 ± 17.6 mL/min (p = 0.019) without an increase in ulnar artery size and was not different from the left ulnar artery flow at rest (p = 0.440). After ischemic forearm exercise, flow increased in the two brachial arteries almost equally (left, 348 ± 50; right, 371 ± 63 mL/min).
CONCLUSIONS: Blood flow to the forearm and hand is not compromised by harvest of the radial artery.
This article has been cited by other articles:
|
|
 |
|
  J. A. Vita, M. Holbrook, J. Palmisano, S. M. Shenouda, W. B. Chung, N. M. Hamburg, B. R. Eskenazi, L. Joseph, and O. M. Shapira Flow-Induced Arterial Remodeling Relates to Endothelial Function in the Human Forearm Circulation, June 17, 2008; 117(24): 3126 - 3133. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. G. Royse, G. S. Chang, D. M. Nicholas, and C. F. Royse No Late Ulnar Artery Atheroma After Radial Artery Harvest for Coronary Artery Bypass Surgery Ann. Thorac. Surg., March 1, 2008; 85(3): 891 - 894. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. G. Royse and C. F. Royse ICVTS on-line discussion B Radial artery harvest preserves forearm blood flow Interactive CardioVascular and Thoracic Surgery, October 1, 2007; 6(5): 602 - 602. [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 D. G. Nezic, A. M. Knezevic, P. S. Milojevic, B. P. Dukanovic, M. D. Jovic, M. D. Borzanovic, and A. N. Neskovic The fate of the radial artery conduit in coronary artery bypass grafting surgery. Eur. J. Cardiothorac. Surg., August 1, 2006; 30(2): 341 - 346. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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 | 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 |
