Complications after radial artery harvesting for coronary artery bypass grafting: Our experience
Background. The aim of this study was to evaluate the incidence of complications in the upper limbs as a new event after radial artery (RA) harvesting for coronary artery bypass grafting (CABG). Methods. From June 1997 to August 2001, the RA graft was used in 271 patients who underwent cardiac surge...
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| Veröffentlicht in: | Surgery 2003-03, Vol.133 (3), p.283-287 |
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| creator | Budillon, Alessandro Maria Nicolini, Francesco Agostinelli, Andrea Beghi, Cesare Pavesi, Giovanni Fragnito, Claudio Busi, Marzio Gherli, Tiziano |
| description | Background. The aim of this study was to evaluate the incidence of complications in the upper limbs as a new event after radial artery (RA) harvesting for coronary artery bypass grafting (CABG). Methods. From June 1997 to August 2001, the RA graft was used in 271 patients who underwent cardiac surgery at our department. These patients were prospectively reviewed. All patients were preoperatively examined to determine the presence of normal sensation and circulation in the upper limbs; then we evaluated the incidence of complications at discharge, 8 weeks, and 6 months. Results. No donor arms developed symptoms of ischemia or motor dysfunction. At 8 weeks 2 patients (0.7%) reported donor arm weakness, and cutaneous paresthesia was noted postoperatively in 10 upper limbs (3.7%). The univariate statistical analysis showed that significant risk factors for persistent cutaneous paresthesia were diabetes and smoking. Conclusions. This study demonstrates that complications after harvesting the RA for CABG are a rare consequence. The main symptom is a persistent cutaneous paresthesia present in 10 patients at 6-month follow-up. (Surgery 2003;133:283-7.) |
| doi_str_mv | 10.1067/msy.2003.43 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73125328</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0039606002216499</els_id><sourcerecordid>73125328</sourcerecordid><originalsourceid>FETCH-LOGICAL-c427t-36535db75970832c12d544c3bbd3359e712b48e3b31edf1ce629ad169adfa2403</originalsourceid><addsrcrecordid>eNptkLtPwzAQhy0EgvKY2JEXWFCKX3EaNlTxkpC6wGwc-1KMkjjYaUX_e1waiYXFJ__u8-n8IXROyZQSWdy0cTNlhPCp4HtoQnPOsoJLuo8mKSwzSSQ5QscxfhJCSkFnh-iIMpliQSbofe7bvnFGD853Eet6gICDtk43WId02eAPHdYQB9ctce0DNj74Tqd8bFebXseIlyG9TcwtXqwChu8egoPOwCk6qHUT4WysJ-jt4f51_pS9LB6f53cvmRGsGDIuc57bqsjLgsw4M5TZXAjDq8pynpdQUFaJGfCKU7A1NSBZqS2V6ag1E4SfoKvd3D74r1XaV7UuGmga3YFfRVVwypKaWQKvd6AJPsYAteqDa9OHFCVqK1QloWorVAme6Itx7Kpqwf6xo8EEXI6AjkY3ddCdcfGPE7IsCd9y-Y6DJGHtIKhofgVZF8AMynr37wI_kl2Rsg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73125328</pqid></control><display><type>article</type><title>Complications after radial artery harvesting for coronary artery bypass grafting: Our experience</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Budillon, Alessandro Maria ; Nicolini, Francesco ; Agostinelli, Andrea ; Beghi, Cesare ; Pavesi, Giovanni ; Fragnito, Claudio ; Busi, Marzio ; Gherli, Tiziano</creator><creatorcontrib>Budillon, Alessandro Maria ; Nicolini, Francesco ; Agostinelli, Andrea ; Beghi, Cesare ; Pavesi, Giovanni ; Fragnito, Claudio ; Busi, Marzio ; Gherli, Tiziano</creatorcontrib><description>Background. The aim of this study was to evaluate the incidence of complications in the upper limbs as a new event after radial artery (RA) harvesting for coronary artery bypass grafting (CABG). Methods. From June 1997 to August 2001, the RA graft was used in 271 patients who underwent cardiac surgery at our department. These patients were prospectively reviewed. All patients were preoperatively examined to determine the presence of normal sensation and circulation in the upper limbs; then we evaluated the incidence of complications at discharge, 8 weeks, and 6 months. Results. No donor arms developed symptoms of ischemia or motor dysfunction. At 8 weeks 2 patients (0.7%) reported donor arm weakness, and cutaneous paresthesia was noted postoperatively in 10 upper limbs (3.7%). The univariate statistical analysis showed that significant risk factors for persistent cutaneous paresthesia were diabetes and smoking. Conclusions. This study demonstrates that complications after harvesting the RA for CABG are a rare consequence. The main symptom is a persistent cutaneous paresthesia present in 10 patients at 6-month follow-up. (Surgery 2003;133:283-7.)</description><identifier>ISSN: 0039-6060</identifier><identifier>EISSN: 1532-7361</identifier><identifier>DOI: 10.1067/msy.2003.43</identifier><identifier>PMID: 12660640</identifier><identifier>CODEN: SURGAZ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Arm - blood supply ; Biological and medical sciences ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - methods ; Female ; Follow-Up Studies ; Humans ; Incidence ; Ischemia - etiology ; Male ; Medical sciences ; Middle Aged ; Motor Skills ; Muscle Weakness - etiology ; Paresthesia - etiology ; Radial Artery - transplantation ; Regional Blood Flow ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><ispartof>Surgery, 2003-03, Vol.133 (3), p.283-287</ispartof><rights>2003</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-36535db75970832c12d544c3bbd3359e712b48e3b31edf1ce629ad169adfa2403</citedby><cites>FETCH-LOGICAL-c427t-36535db75970832c12d544c3bbd3359e712b48e3b31edf1ce629ad169adfa2403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0039606002216499$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14699030$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12660640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Budillon, Alessandro Maria</creatorcontrib><creatorcontrib>Nicolini, Francesco</creatorcontrib><creatorcontrib>Agostinelli, Andrea</creatorcontrib><creatorcontrib>Beghi, Cesare</creatorcontrib><creatorcontrib>Pavesi, Giovanni</creatorcontrib><creatorcontrib>Fragnito, Claudio</creatorcontrib><creatorcontrib>Busi, Marzio</creatorcontrib><creatorcontrib>Gherli, Tiziano</creatorcontrib><title>Complications after radial artery harvesting for coronary artery bypass grafting: Our experience</title><title>Surgery</title><addtitle>Surgery</addtitle><description>Background. The aim of this study was to evaluate the incidence of complications in the upper limbs as a new event after radial artery (RA) harvesting for coronary artery bypass grafting (CABG). Methods. From June 1997 to August 2001, the RA graft was used in 271 patients who underwent cardiac surgery at our department. These patients were prospectively reviewed. All patients were preoperatively examined to determine the presence of normal sensation and circulation in the upper limbs; then we evaluated the incidence of complications at discharge, 8 weeks, and 6 months. Results. No donor arms developed symptoms of ischemia or motor dysfunction. At 8 weeks 2 patients (0.7%) reported donor arm weakness, and cutaneous paresthesia was noted postoperatively in 10 upper limbs (3.7%). The univariate statistical analysis showed that significant risk factors for persistent cutaneous paresthesia were diabetes and smoking. Conclusions. This study demonstrates that complications after harvesting the RA for CABG are a rare consequence. The main symptom is a persistent cutaneous paresthesia present in 10 patients at 6-month follow-up. (Surgery 2003;133:283-7.)</description><subject>Arm - blood supply</subject><subject>Biological and medical sciences</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary Artery Bypass - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Ischemia - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor Skills</subject><subject>Muscle Weakness - etiology</subject><subject>Paresthesia - etiology</subject><subject>Radial Artery - transplantation</subject><subject>Regional Blood Flow</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><issn>0039-6060</issn><issn>1532-7361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkLtPwzAQhy0EgvKY2JEXWFCKX3EaNlTxkpC6wGwc-1KMkjjYaUX_e1waiYXFJ__u8-n8IXROyZQSWdy0cTNlhPCp4HtoQnPOsoJLuo8mKSwzSSQ5QscxfhJCSkFnh-iIMpliQSbofe7bvnFGD853Eet6gICDtk43WId02eAPHdYQB9ctce0DNj74Tqd8bFebXseIlyG9TcwtXqwChu8egoPOwCk6qHUT4WysJ-jt4f51_pS9LB6f53cvmRGsGDIuc57bqsjLgsw4M5TZXAjDq8pynpdQUFaJGfCKU7A1NSBZqS2V6ag1E4SfoKvd3D74r1XaV7UuGmga3YFfRVVwypKaWQKvd6AJPsYAteqDa9OHFCVqK1QloWorVAme6Itx7Kpqwf6xo8EEXI6AjkY3ddCdcfGPE7IsCd9y-Y6DJGHtIKhofgVZF8AMynr37wI_kl2Rsg</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Budillon, Alessandro Maria</creator><creator>Nicolini, Francesco</creator><creator>Agostinelli, Andrea</creator><creator>Beghi, Cesare</creator><creator>Pavesi, Giovanni</creator><creator>Fragnito, Claudio</creator><creator>Busi, Marzio</creator><creator>Gherli, Tiziano</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030301</creationdate><title>Complications after radial artery harvesting for coronary artery bypass grafting: Our experience</title><author>Budillon, Alessandro Maria ; Nicolini, Francesco ; Agostinelli, Andrea ; Beghi, Cesare ; Pavesi, Giovanni ; Fragnito, Claudio ; Busi, Marzio ; Gherli, Tiziano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-36535db75970832c12d544c3bbd3359e712b48e3b31edf1ce629ad169adfa2403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Arm - blood supply</topic><topic>Biological and medical sciences</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary Artery Bypass - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Ischemia - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Motor Skills</topic><topic>Muscle Weakness - etiology</topic><topic>Paresthesia - etiology</topic><topic>Radial Artery - transplantation</topic><topic>Regional Blood Flow</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Budillon, Alessandro Maria</creatorcontrib><creatorcontrib>Nicolini, Francesco</creatorcontrib><creatorcontrib>Agostinelli, Andrea</creatorcontrib><creatorcontrib>Beghi, Cesare</creatorcontrib><creatorcontrib>Pavesi, Giovanni</creatorcontrib><creatorcontrib>Fragnito, Claudio</creatorcontrib><creatorcontrib>Busi, Marzio</creatorcontrib><creatorcontrib>Gherli, Tiziano</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Budillon, Alessandro Maria</au><au>Nicolini, Francesco</au><au>Agostinelli, Andrea</au><au>Beghi, Cesare</au><au>Pavesi, Giovanni</au><au>Fragnito, Claudio</au><au>Busi, Marzio</au><au>Gherli, Tiziano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications after radial artery harvesting for coronary artery bypass grafting: Our experience</atitle><jtitle>Surgery</jtitle><addtitle>Surgery</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>133</volume><issue>3</issue><spage>283</spage><epage>287</epage><pages>283-287</pages><issn>0039-6060</issn><eissn>1532-7361</eissn><coden>SURGAZ</coden><abstract>Background. The aim of this study was to evaluate the incidence of complications in the upper limbs as a new event after radial artery (RA) harvesting for coronary artery bypass grafting (CABG). Methods. From June 1997 to August 2001, the RA graft was used in 271 patients who underwent cardiac surgery at our department. These patients were prospectively reviewed. All patients were preoperatively examined to determine the presence of normal sensation and circulation in the upper limbs; then we evaluated the incidence of complications at discharge, 8 weeks, and 6 months. Results. No donor arms developed symptoms of ischemia or motor dysfunction. At 8 weeks 2 patients (0.7%) reported donor arm weakness, and cutaneous paresthesia was noted postoperatively in 10 upper limbs (3.7%). The univariate statistical analysis showed that significant risk factors for persistent cutaneous paresthesia were diabetes and smoking. Conclusions. This study demonstrates that complications after harvesting the RA for CABG are a rare consequence. The main symptom is a persistent cutaneous paresthesia present in 10 patients at 6-month follow-up. (Surgery 2003;133:283-7.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>12660640</pmid><doi>10.1067/msy.2003.43</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Arm - blood supply Biological and medical sciences Coronary Artery Bypass - adverse effects Coronary Artery Bypass - methods Female Follow-Up Studies Humans Incidence Ischemia - etiology Male Medical sciences Middle Aged Motor Skills Muscle Weakness - etiology Paresthesia - etiology Radial Artery - transplantation Regional Blood Flow Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| title | Complications after radial artery harvesting for coronary artery bypass grafting: Our experience |
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