Endoscopic radial artery harvesting for coronary artery bypass grafting: the initial clinical experience and results of the first 50 patients.
BACKGROUND
The radial artery (RA) is a commonly used arterial conduit in coronary artery bypass grafting (CABG). Traditional open-vessel harvest often leads to postoperative wound complications and cosmetic problems. Endoscopic RA harvesting (ERAH) has been widely used to prevent these problems. The purpose of this study was to assess these problems and graft patency in the first 50 patients who underwent ERAH.


METHODS
Between February 2006 and October 2007, 50 patients underwent ERAH with the VasoView system (Boston Scientific). These patients were compared with 50 patients who underwent the traditional open technique.


RESULTS
The mean age was 62.8 years in both groups. All RAs were successfully harvested. No conversion was made from ERAH to the traditional open technique. The mean harvesting time (forearm ischemic time) was 27.4 + or - 6.5 minutes, and the mean length of the RA in the ERAH group was 18.5 cm. Neither wound complications, such as wound infection and skin necrosis, nor severe neurologic complications were recorded. The patency rate was 95.9% (95/99) in the ERAH group and 94% (94/100) in the open group.


CONCLUSIONS
ERAH can be performed safely, and the early results are satisfactory. Endoscopic vessel harvesting is therefore recommended as the technique of choice for RA harvesting.
Ito
Nobuhisa
N
Department of Cardiovascular Surgery, Fukuoka University School of Medicine, Fukuoka, Japan. noby.ito@nifty.ne.jp
Tashiro
Tadashi
T
Morishige
Noritsugu
N
Iwahashi
Hidehiko
H
Nishimi
Masaru
M
Hayashida
Yoshio
Y
Takeuchi
Kazuma
K
Minematsu
Noritoshi
N
Kuwahara
Go
G
Sukehiro
Yuta
Y
D001026:Coronary Artery Bypass / Q000295:instrumentation* / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D017534:Radial Artery / Q000637:transplantation*; D020858:Tissue and Organ Harvesting / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome