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Journals / Anadolu Kardiyoloji Dergisi / 2009 / Cilt: 9 - Sayı: 2

Radiyal arterin çıkarılması erken postoperatif dönemde palmar kanlanmayı ve fonksiyonları bozar mı?

Does harvesting of radial artery in the early postoperative period perturb the palmar blood supply and functions?

Kubilay KARABACAK
Yavuz SANISOĞLU
Mehmet Ali ŞAHİN
Harun TATAR
Ata KIRILMAZ
Adem GÜLER
Ertuğrul ÖZAL
Nezihi KÜÇÜKARSLAN
Pages
128–131
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

After squeezing test, ipsilateral ulnar artery peak systolic velocity increased from 86±15 to 105±15 cm/sec (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this prospective study was to assess whether the removal of the radial artery (RA) caused any alteration in the function or power of hand on postoperative 15th day.
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Key Findings & Data:Methods: The study group included 25 patients with objective or subjective complaints on postoperative 15th day regarding harvest site following coronary bypass surgery by using RA.
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Conclusion & Impact:After squeezing test, ipsilateral ulnar artery peak systolic velocity increased from 86±15 to 105±15 cm/sec (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this prospective study was to assess whether the removal of the radial artery (RA) caused any alteration in the function or power of hand on postoperative 15th day. Methods: The study group included 25 patients with objective or subjective complaints on postoperative 15th day regarding harvest site following coronary bypass surgery by using RA. Patients were examined for bilateral forearm function (soft touch and pin-prick neural sensation, handgrip power). The ulnar artery and palmar arcus Doppler measurements such as peak systolic and end-diastolic velocity, and radius of the arteries have been measured both at rest and following handgrip test. The operated arm was evaluated and compared with the opposite arm. Wilcoxon test was used to compare continuous variables. Results: Among 18 patients complained a loss of sense in the RA excised arm, the sensory defects were documented in 5. Among 7 patients presented with a feel of strength loss, handgrip power revealed a nonsignificant decrease of strength in the harvested arm. After squeezing test, ipsilateral ulnar artery peak systolic velocity increased from 86±15 to 105±15 cm/sec (p

Özet

Amaç: Bu prospektif çalışmanın amacı radiyal arterin (RA) çıkarılmasının, operasyondan 15 gün sonra elin fonksiyon ve gücünde değişmeye neden olup olmadığının değerlendirilmesidir. Yöntemler: Çalışma grubu RA’in kullanıldığı koroner arter baypas cerrahisini takip eden 15. günde çıkarılan taraftaki el ile ilgili objektif veya subjektif şikâyetleri olan 25 hastayı içermektedir. Hastalarda iki taraflı ön kol fonksiyonları değerlendirildi (hafif dokunma, iğne batması hissi, el kavrama gücü). Pik sistolik ve diyastol sonu akım hızı ve arterlerin çapı gibi Doppler ve ultrason ölçümleri hem istirahatte, hem de el sıkma testinden sonra tekrarlandı. Opere edilen kol değerlendirildi ve karşı taraftaki ile karşılaştırıldı. Devamlı değişkenlerin karşılaştırılması için Wilcoxon testi kullanıldı.Bulgular: Radiyal arterin çıkarıldığı kolda şikayetleri olan 18 hasta arasından 5’inde duyu defekti dokümante edildi. Güç kaybı hissi ile müracaat eden 7 hastada el sıkma gücü opere edilen kolda anlamlı olmayan bir güç kaybı ortaya koydu. Sıkma testinden sonra, ulnar arter pik sistolik hız 86±15’den 105±15 cm/sn’ye (p

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Cite This Article

KARABACAK, K., SANISOĞLU, Y., ŞAHİN, M. A., TATAR, H., KIRILMAZ, A., GÜLER, A., ÖZAL, E., KÜÇÜKARSLAN, N. (2022). Radiyal arterin çıkarılması erken postoperatif dönemde palmar kanlanmayı ve fonksiyonları bozar mı?. Anadolu Kardiyoloji Dergisi, Cilt: 9 - Sayı: 2, 128–131. https://ajindex.com/articles/436926

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References (11)

  1. Acar C, Jebara VA, Portoghese M, Beyssen B, Pagny JY, Grare P, et al. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 1992; 54: 652-9
  2. Demirkılıç U, Bolcal C, Küçükarslan N, Bingöl H, Oz BS, Kuralay E, et al. Middle and late-term results of coronary artery bypass graft surgery in very young (20-29 years) patients. Anadolu Kardiyol Derg 2004; 4: 25-9
  3. Küçükarslan N, Ulusoy E, Oz BS, Baysan O, Ozal E, Tatar H. The early and mid term results of radial artery graft use in coronary artery bypass surgery in female patients over 60 years old. MN Cardiology 2004; 11: 443-7
  4. Abu-Omar Y, Mussa S, Anastasiadis K, Steel S, Hands L, Taggart DP. Duplex ultrasonography predicts safety of radial artery harvest in the presence of an abnormal Allen test. Ann Thorac Surg 2004; 77: 116-9
  5. Allen EV. Thromboangiitis obliterans: methods of diagnosis of chronic occlusive arterial lesions distal to the wrist with illustrative cases. Am J Med Sci 1929; 178: 237
  6. Dumanian GA, Segalman K, Mispireta LA, Walsh JA, Hendrickson MF, Wilgis EF. Radial artery use in bypass grafting does not change digital blood flow or hand function. Ann Thorac Surg 1998; 65:1284-7
  7. İkizler M, Özkan S, Dernek S, Özdemir C, Erdinc O. O, Sevin B, et al. Does radial artery harvesting for coronary revascularization cause neurological injury in the forearm and hand? Eur J Cardiothorac Surg 2005; 28: 420-4
  8. Chong WC, Ong PJ, Hayward CS, Collins P, Moat NE. Effects of radial artery harvesting on forearm function and blood flow. Ann Thorac Surg 2003; 75: 1171-4
  9. Meharwal ZS, Trehan N. Functional status of the hand after radial artery harvesting: results in 3,977 cases. Ann Thorac Surg 2001; 72: 1557-61
  10. Manabe S, Tabuchi N, Toyama M, Yoshizaki T, Kato M, Wu H, et al. Oxygen pressure measurement during grip exercise reveals exercise intolerance after radial harvest. Ann Thorac Surg 2004; 77: 2066-70
  11. Tatoulis J, Royse AG, Buxton BF, Fuller JA, Skillington PD, Goldblatt JC, et al. The radial artery in coronary surgery: a 5-year experience-clinical and angiographic results. Ann Thorac Surg 2002; 73: 143-7.