Release date: 2007-12-11
Endoscopic radial artery acquisition reduces postoperative pain and neurological complications Endoscopic radial artery acquisition provides better cosmetic results without compromising the quality of the graft. Rudez I of the Dubrava University Hospital in Zagreb, Croatia, and colleagues compared neurological and vascular prognosis at the site of postoperative access. From October 2002 to October 2004, 50 patients were randomized to receive brachial artery for coronary bypass by endoscopy (group A, n=25) and conventional methods (group B, n=25). surgery. Doppler echocardiography was used to evaluate the brachial artery before surgery. Neurological and functional status were assessed by a self-reported questionnaire containing a semi-quantitative (1-5) scale. The vascular status of the forearm was assessed using a contrast echocardiogram. The results showed that patients who underwent endoscopic brachial artery acquisition had fewer neurological complications at the mean follow-up of 37 ± 7 months (11 vs 17 patients, P = 0.023), and to a lesser extent (0.8 ± 1.1 vs) 2.2 ± 1.2; P < 0.001). The increase in edentral blood flow was similar in the two groups. The A and B groups were 13.1±5.43 cm/s and 15.9±4.9 cm/s, respectively (P=0.147). The ulnar artery diameters in group A and B increased by 0.29±0.16 mm, respectively. And 0.29 ± 0.26 cm (P = 0.914). Rudez et al concluded that endoscopic radial artery acquisition is safe and does not affect graft quality or postoperative forearm and hand circulation. In addition to better cosmetic results, endoscopic arterial acquisition also reduces pain and neurological complications at the site of postoperative access. ——Midi Medical Network
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