Canosa Carlo, Nasso Giuseppe, De Filippo Carlo Maria, Modugno Pietro, Spatuzza Paola, Calvo Eugenio, Testa Nicola, Alessandrini Francesco
Cardiovascular Department, Catholic University of Sacred Heart, Campus of Campobasso, C.da Tappino, Campobasso, Italy.
J Card Surg. 2007 Mar-Apr;22(2):139-41. doi: 10.1111/j.1540-8191.2007.00374.x.
The Ultracision Harmonic Scalpel is associated with several advantages in radial artery (RA) harvesting. It allows fewer hemostatic clips to close the collateral branches, less thermal injury of the conduit, and reduced time of harvesting in comparison with the conventional RA harvesting technique with electrocautery and hemostatic clips. We recently started open RA harvesting with the harmonic shears (HSH). In this study, we aimed at evaluating the feasibility of this simplified ultrasonically activated harvesting technique, and report the results of RA harvesting with HSH.
The RA harvesting with HSH was performed in 20 patients operated on for myocardial revascularization from July 2004 to December 2005.
The harvest of the RA was completed in little time, without any complication. Neither bleeding from the collateral branches nor spasm alongside the entire length of the RA was observed. No bleeding occurred from the muscles of the forearm.
This technique of RA harvesting with HSH is impressive in terms of short time of harvest, complete absence of clips for the collateral branches, and no thermal injury of the conduit.
超声刀在桡动脉（RA）获取方面具有多项优势。与使用电灼和止血夹的传统RA获取技术相比，它只需较少的止血夹来闭合侧支分支，对血管的热损伤较小，且获取时间缩短。我们最近开始使用谐波剪（HSH）进行开放性RA获取。在本研究中，我们旨在评估这种简化的超声激活获取技术的可行性，并报告使用HSH进行RA获取的结果。
2004年7月至2005年12月期间，对20例接受心肌血运重建手术的患者使用HSH进行RA获取。
RA获取在短时间内完成，无任何并发症。未观察到侧支分支出血或RA全长出现痉挛。前臂肌肉未发生出血。
这种使用HSH进行RA获取的技术在获取时间短、侧支分支完全无需夹子以及对血管无热损伤方面令人印象深刻。
