The Radial Artery in the Myocardial Revascularization. Analysis of the Patient Subjects
Arteria radialis v revaskularizácii myokardu, analýza súboru pacientov
Úvod:
Použitie arteriálnych štepov pri revaskularizácii myokardu sa stáva stále populárnejším, predovšetkým z dôvodu dlhodobej priechodnosti v porovnaní s vena saphena magna. Cieľom tejto retrospektívnej štúdie bolo zhodnotiť naše skúsenosti a prvé výsledky v súbore pacientov, u ktorých bola pri revaskularizácii použitá arteria radialis.
Materiál a metodika:
V období 7/2000 – 2/2004 51 pacientov s priemerným vekom 69,0 ± 9,0 (42–82) rokov podstúpilo revaskularizačnú operáciu s použitím arteria radialis v kombinácii s ľavou alebo pravou arteria mammaria interna. Angiografické vyšetrenie absolvovalo 44 pacientov (86,3 %), 5 pacienti odmietli podstúpiť kontrolné angiografické vyšetrenie. Dvaja pacienti zomreli niekoľko mesiacov po operácii, ale bez zjavnej súvislosti s použitím štepu arteria radialis.
Výsledky:
Zo 44 pacientov (86,3 %), ktorí mali kontrolné angiografické vyšetrenie priemerne po 9,4 ± 9,8 mesiacoch (1–38 mesiacov), bol v 5 prípadoch (11,4 %) uzáver RA. U 4 pacientov v mieste odstupu z aorty, u 1 pacienta v mieste anastomózy s ľavou arteria mammaria interna. Celková priechodnosť stepov arteria radialis bola 89 %.
Záver:
Použitie arteria radialis pri revaskularizácii myokardu je bezpečné, spojené s nižším výskytom komplikácií v súvislosti s jej odberom a predovšetkým dobrou krátkodobou a strednedlhou priechodnosťou štepu potvrdenou aj kontrolným angiografickým vyšetrením.
Kľúčové slová:
arteria radialis – revaskularizácia myokardu – angiografia
Authors:
J. Čanádyová; M. Šetina; A. Mokráček; D. Čoček; L. Pešl *
Authors place of work:
Kardiochirurgické oddelenie, Nemocnica České Budějovice, a. s.
; Kardiologické oddelenie, Nemocnica České Budějovice, a. s.
*
Published in the journal:
Rozhl. Chir., 2005, roč. 84, č. 4, s. 159-162.
Category:
Monothematic special - Original
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 experience and first results in the group of patients who had underwent revascularization procedures using their radial artery.
Material and methodology:
Between 7/2000 – 2/2004, 51 patients of acceptable age, aged 69.0 ± 9.0 (42–82), underwent the revascularization procedure using the radial 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 radial 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 radial artery grafts reached 89%.
Conclusion:
The use of the radial 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 radial artery – myocardial revascularization – angiography
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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