The Radial Artery in the Myocardial Revascularization. Analysis of the Patient Subjects
Čanádyová J., Setina M., Mokráček A., Čoček D., Pešl L
Kardiochirurgické oddelenie, Nemocnica České Budějovice, a.s. Kardiologické oddelenie, Nemocnica České Budějovice, a.s. |
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Summary:
Introduction: The use of arterial grafts in the myocardial revascularization procedures has grown more popular due to their long-term patency compared with that of the great saphenous vein. The aim of this retrospective study was to assess our expe-rience and first results in the group of patients who had underwent revascularization procedures using their radiál artery.
Materiál and methodology: Between 7/2000 - 2/2004, 51 patients of acceptable age, aged 69.0 ± 9.0 (42-82), underwent the revascularization proceduře using the radiál artery in combination with the left or right arteria mammaria interna. The angiographic examinations were conducted in 44 patients (86.3%), 5 patients refused to undergo their control angiographic examinations. Two patients exited a few months following their surgery, however there was no obvious connection with the use of the radiál artery graft.
Results: Out of 44 patients (86.3%), who had their control angiographic examination completed, 9.4 ± 9.8 months later, on average, (1-38 months), 5 patients (11.4%) suffered from the RA occlusion. In 4 patients, the occlusion was located at the branching site off the aorta, in 1 patient the occlusion was located at the site of the anastomosis with the left arteria mammaria interna. The total patency of the radiál artery grafts reached 89%.
Conclusion: The use of the radiál artery in myocardial revascularization procedures has proven safe, associated with lower complication rates connected with its collection. Furthermore, the procedures result in a good short and mid-term graft patency confirmed also on the control angiofraphic examinations
Key words:
the radiál artery - myocardial revascularization - angiography
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