Veterans Affairs Health Care System, Palo Alto, CA, USA.
Am J Surg. 2011 Nov;202(5):532-5. doi: 10.1016/j.amjsurg.2011.06.011. Epub 2011 Aug 26.
In coronary artery bypass grafting (CABG) surgery, there is uncertainty about whether the radial artery affects quality of life or costs relative to the saphenous vein. This study compared the cost and quality of life for patients randomized to either radial artery or saphenous vein grafts.
We analyzed the duration and cost of the index surgery and costs and quality of life (Seattle Angina Questionnaire and Health Utility Index) at 1 year for 726 participants.
The 2 treatment groups had similar baseline characteristics. Using the radial artery added approximately 31 minutes to the surgery (from skin incision to skin closure; P < .001) compared with a saphenous vein graft. There were no significant differences in terms of costs and quality of life after the index hospitalization or at 1 year.
Coronary artery bypass grafting with the radial artery lasts approximately 31 minutes longer than with the saphenous vein. However, costs and the quality of life were not statistically different.
在冠状动脉旁路移植术（CABG）中，桡动脉相对于隐静脉在生活质量或成本方面的影响尚不确定。本研究比较了随机分配至桡动脉或隐静脉移植物的患者的成本和生活质量。
我们分析了 726 名参与者的指数手术持续时间和成本，以及术后 1 年的成本和生活质量（西雅图心绞痛问卷和健康效用指数）。
两组治疗患者的基线特征相似。与隐静脉移植物相比，使用桡动脉可使手术时间延长约 31 分钟（从皮肤切开至皮肤缝合；P<0.001）。指数住院或术后 1 年时，在成本和生活质量方面无显著差异。
与隐静脉相比，桡动脉冠状动脉旁路移植术的持续时间约长 31 分钟。然而，成本和生活质量在统计学上并无差异。
