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Ann Thorac Surg 2002;73:1359-1360
© 2002 The Society of Thoracic Surgeons

Correspondence

Reply

David Taggart, MD, PhDa

a Department of Cardiothoracic Surgery, Oxford Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, United Kingdom

e-mail: david.taggart{at}orh.nhs.uk

To the Editor

I am grateful to the correspondents for their interest in our article [1] and welcome their comments.

The statement that the only rationale for the skeletonization technique, ie, to obtain an extra length, is quite inaccurate as we enumerated five potential advantages to the skeletonization method.

As described in our article, with meticulous attention to detail, the radial artery can be harvested in a skeletonized fashion while maintaining the principles of a "no touch technique." When combined with application of topical phenoxybenzamine, this provides a versatile conduit resistant to spasm [2, 3].

The skeletonization technique brings several advantages to the versatility of internal mammary arteries and I believe the same, when appropriately performed, applies to the radial artery.

Thank you for providing me the opportunity to respond to these important comments.

References

  1. Taggart D.P., Mathur M.N., Ahmad I. Skeletonization of the radial artery: advantages over the pedicled technique. Ann Thorac Surg 2001;72:298-299.[Abstract/Free Full Text]
  2. Dipp M., Nye P.C., Taggart D.P. Phenoxybenzamine is more effective and less harmful than papaverine in the prevention of radial artery vasospasm. Eur J Cardiothorac Surg 2001;19:482-486.[Abstract/Free Full Text]
  3. Taggart D.P., Dipp M., Mussa S., Nye P.C. Phenoxybenzamine prevents spasm in radial artery conduits for coronary artery bypass grafting. J Thorac Cardiovasc Surg 2000;120:815-817.[Free Full Text]

Related Article

Harvesting of the radial artery: skeletonization versus pedicled technique
Federico Bizzarri and Giacomo Frati
Ann. Thorac. Surg. 2002 73: 1359. [Extract] [Full Text] [PDF]




This Article
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