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Preoperative Insight Into the Quality of Radial Artery Grafts
- Source :
- Angiology. 68(9)
- Publication Year :
- 2017
-
Abstract
- We investigated the impact of preoperative ultrasonography of the forearm circulation on radial artery conduit selection. Preoperative ultrasound of the forearm circulation was performed routinely in 536 patients planned for radial artery harvesting. The safety assessment of the harvest included the following algorithm of tests: the ultrasound, the Allen test, and pulse oximetry. The quality criteria that were used to exclude a radial artery from harvesting were small size of the artery, diffuse atherosclerosis, calcifications, and severe neointimal hyperplasia. The overall rejection rate due to safety reasons was 16.4%. Seventy-one (13.2%) radial arteries did not fulfill the conduit quality criteria and consequently these arteries were not harvested. In 13.4% of radial arteries, localized arterial wall disease was found in the distal third of the artery. The distal part of the artery was discarded and the rest was used as a conduit. Our results indicate that the ultrasound provides an accurate preoperative insight into the radial artery morphology, enabling selection of the arteries with favorable morphological features.
- Subjects :
- Adult
Male
medicine.medical_specialty
Allen test
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Forearm
medicine.artery
medicine
Humans
Oximetry
Radial artery
Coronary Artery Bypass
Aged
Neointimal hyperplasia
medicine.diagnostic_test
business.industry
Ultrasound
Middle Aged
medicine.disease
Atherosclerosis
Surgery
Pulse oximetry
medicine.anatomical_structure
030228 respiratory system
Radial Artery
Tissue and Organ Harvesting
Female
Radiology
Ultrasonography
Cardiology and Cardiovascular Medicine
business
Artery
Subjects
Details
- ISSN :
- 19401574
- Volume :
- 68
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Angiology
- Accession number :
- edsair.doi.dedup.....50a501a89482dec407d5bb9b9827e9ce