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.)

Complications after radial artery harvesting for coronary artery bypass grafting: our experience / BUDILLON AM; NICOLINI F; AGOSTINELLI A; BEGHI C; PAVESI G.; FRAGNITO C; BUSI M; GHERLI T.. - In: SURGERY. - ISSN 0039-6060. - 133(2003), pp. 283-287. [10.1067/msy.2003.43]

Complications after radial artery harvesting for coronary artery bypass grafting: our experience.

NICOLINI, Francesco;PAVESI, Giovanni;GHERLI, Tiziano
2003

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.)
Complications after radial artery harvesting for coronary artery bypass grafting: our experience / BUDILLON AM; NICOLINI F; AGOSTINELLI A; BEGHI C; PAVESI G.; FRAGNITO C; BUSI M; GHERLI T.. - In: SURGERY. - ISSN 0039-6060. - 133(2003), pp. 283-287. [10.1067/msy.2003.43]
File in questo prodotto:
File Dimensione Formato  
Surgery - Budillon 2003.pdf

non disponibili

Tipologia: Documento in Post-print
Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 46.81 kB
Formato Adobe PDF
46.81 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11381/2297352
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 36
  • ???jsp.display-item.citation.isi??? 33
social impact