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  • We sought to evaluate our experience with endoscopic radial artery harvesting for coronary artery bypass grafting (CABG). METHODS:From October 2005 to June 2010, 50 patients who underwent endoscopic radial artery harvesting for an elective CABG were prospectively assessed for harvesting characteristics, complications, postoperative and mid-term outcomes. RESULTS:There were 34 (68%) males and 16 (32%) females, average age 60.8 ? 9.2 years. All but two RA grafts (96%) were successfully harvested endoscopically. Mean harvesting time was 46.2 ? 9.3 min and mean length of harvested grafts was 23.4 ? 2.2 cm. In the post-operative period there were no wound-healing complications; residual forearm edema was recorded in 6 patients (12%) and peripheral neuropathy in 4 patients (8%). At 3 months after the surgery, peripheral neuropathy and residual edema persisted in 2 patients (4%). A significant drop of overall harvesting time (56.2 ? 18.6 vs. 38.6 ? 8.6 min, P<0.05) and forearm ischemia time (41.8 ? 12.7 vs. 24.2 ? 3.2 min, P<0.01) was found between first and last ten cases in the group. CONCLUSION:Endoscopic radial artery harvesting was associated with low risk of post-harvesting complications and most of these disappeared within a 3 months follow-up. However, there was a significant learning curve.
  • We sought to evaluate our experience with endoscopic radial artery harvesting for coronary artery bypass grafting (CABG). METHODS:From October 2005 to June 2010, 50 patients who underwent endoscopic radial artery harvesting for an elective CABG were prospectively assessed for harvesting characteristics, complications, postoperative and mid-term outcomes. RESULTS:There were 34 (68%) males and 16 (32%) females, average age 60.8 ? 9.2 years. All but two RA grafts (96%) were successfully harvested endoscopically. Mean harvesting time was 46.2 ? 9.3 min and mean length of harvested grafts was 23.4 ? 2.2 cm. In the post-operative period there were no wound-healing complications; residual forearm edema was recorded in 6 patients (12%) and peripheral neuropathy in 4 patients (8%). At 3 months after the surgery, peripheral neuropathy and residual edema persisted in 2 patients (4%). A significant drop of overall harvesting time (56.2 ? 18.6 vs. 38.6 ? 8.6 min, P<0.05) and forearm ischemia time (41.8 ? 12.7 vs. 24.2 ? 3.2 min, P<0.01) was found between first and last ten cases in the group. CONCLUSION:Endoscopic radial artery harvesting was associated with low risk of post-harvesting complications and most of these disappeared within a 3 months follow-up. However, there was a significant learning curve. (en)
Title
  • Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience.
  • Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience. (en)
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  • Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience.
  • Endoscopic radial artery harvesting for coronary artery bypass grafting. A single center evolving experience. (en)
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  • RIV/00098892:_____/13:#0000567!RIV14-MZ0-00098892
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
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  • 72796
http://linked.open...ai/riv/idVysledku
  • RIV/00098892:_____/13:#0000567
http://linked.open...riv/jazykVysledku
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  • radial artery, endoscopic harvesting, coronary artery bypass grafting (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [4965806887AA]
http://linked.open...i/riv/nazevZdroje
  • Biomedical Papers-Olomouc
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 157
http://linked.open...iv/tvurceVysledku
  • Lonský, Vladimír
  • Fluger, Ivo
  • Marcián, Pavel
issn
  • 1213-8118
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