Altarabsheh SE1, Deo SV2* and Haddad O1
1Department of Cardiac Surgery, Queen Alia Heart Institute, Jordan
2Department of Cardiovascular Surgery, Case Western Reserve University, USA
Impetus on total arterial revascularization has led to increased use of the radial artery as a conduit for coronary artery bypass grafting. The radial artery conduit is being increasingly used as alternative to saphenous vein as a conduit. Recent interest has focused on endoscopic harvest using a single small incision in the wrist. However, data comparing this with the earlier open surgical technique is limited. We have performed aggregate level meta-analysis pooling1340 patients from six studies. The Peto odds ratio (OR) was obtained using fixed effect modeling. Continuous data was pooled as weighted mean difference (WMD). Conduit length was comparable between methods ((WMD 0.6(0.2-1.7) mm; p=0.3)). Endoscopic radial artery harvest led to lower rates of wound hematoma formation ((OR 0.2 (0.08-0.47); p=<0.01)) and wound infection ((OR 0.4(0.1-0.9); p=0.04)) compared to conventional radial artery harvest. However, the incidence of forearm wound exploration was comparable ((OR 0.6(0.2-1.7); p=0.34)) in both cohorts. Endoscopic radial artery harvest may reduce forearm complications after radial artery harvest.
Endoscopic radial artery harvest; Conventional radial artery harvest; Coronary artery bypass grafting; Conduit; Forearm wound
Altarabsheh SE, Deo SV, Haddad O. Endoscopic Radial Artery Harvest Reduces Forearm Complications when Compared to Conventional Methods: A Pooled Analysis. Clin Surg. 2016; 1: 1218.