Department of Surgery, Division of Cardiac Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio, USA;
Ann Cardiothorac Surg. 2013 Jul;2(4):533-42. doi: 10.3978/j.issn.2225-319X.2013.07.10.
The radial artery (RA) has emerged as an important arterial graft for coronary bypass surgery. With improving five-year patency rates and increasing uptake, great attention has been focused on the optimal conduit harvesting technique. We herein present our approach to RA harvesting. Prerequisites of a successful harvest include adherence to important anatomical landmarks, protection of the sensory innervation to the volar forearm, and meticulous handling of the RA branches. Regardless of the harvesting methodology chosen, adherence to a "no-touch" technique will optimize the patency and durability of the RA conduit.
桡动脉(RA)已成为冠状动脉旁路手术中重要的动脉移植物。随着五年通畅率的提高和应用的增加,人们越来越关注最佳的血管采集技术。在此,我们介绍 RA 采集的方法。成功采集的前提包括:遵循重要的解剖学标志、保护手掌前臂的感觉神经支配、以及精细处理 RA 分支。无论选择哪种采集方法,坚持“无接触”技术将优化 RA 移植物的通畅性和耐久性。