[Radial artery harvesting technique without hemostatic clips and clinical experience].
OBJECTIVE
The various techniques of radial artery (RA) harvesting produce similar results. These techniques use electrocautery, ultrasonic scalpel, or sharp scissors in different combinations, but usually associated with the use of hemostatic clips. We describe a RA harvesting technique with the combination of sharp scissors and electrocautery without the use of hemostatic clips.


METHODS
We describe a retrospective study of 107 patients ranging from 28 and 78 years of age (mean +/- SD; 53.3 +/- 8 yrs). Bleeding, re-operation, infarct, and death were analyzed.


RESULTS
No bleeding was imputable to the RA and no re-operations were required. There were three (2.8%) infarcts possibly related to the RA anastomosis territory. Mortality was 0.9%, but unrelated to cardiac complications.


CONCLUSIONS
RA electrocautery harvesting without hemostatic clips presented no bleeding and was an inexpensive procedure, requiring no investments in additional equipment.
Oliveira
João Bosco de
JB
Grupo de Cirurgia Cardiovascular, Hospital Paulo Sacramento, SP, Brasil.
Rocha E Silva
Roberto
R
Mola
Ricardode de
Rd
Ribera
Roger Alain Pantoja
RA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006488:Hemostasis, Surgical / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000601:surgery*; D017534:Radial Artery / Q000637:transplantation*; D012086:Reoperation; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome