Hallock Geoffrey G
Division of Plastic Surgery, The Lehigh Valley Hospital, Allentown, Pennsylvania, USA.
Can J Plast Surg. 2003 Summer;11(2):67-9. doi: 10.1177/229255030301100204.
The use of the radial artery as an alternative vascular conduit for coronary bypass surgery has become increasingly popular. The plastic surgery experience with radial forearm flaps has shown that sacrifice of the radial artery is not always a benign maneuver. The potential morbidity after using this conduit donor site in terms of hand dysfunction or wound healing problems can be significant, and frequently must ultimately be addressed as part of the role of the reconstructive surgeon. Case examples of skin necrosis, subsequent forearm wound infection and hypertrophic scarring after radial artery harvest are presented to introduce this as a real concern and to allow a review of the entire spectrum of potential problems in this regard. Any selection process where the radial artery may be chosen as the coronary revascularization conduit must anticipate these known donor site complications.
将桡动脉用作冠状动脉搭桥手术的替代血管管道已越来越普遍。在前臂桡侧皮瓣整形手术方面的经验表明，牺牲桡动脉并不总是一项无害的操作。使用该管道供区后，手部功能障碍或伤口愈合问题等潜在发病率可能很高，而且重建外科医生的职责通常最终必须要解决这些问题。文中展示了桡动脉采集后皮肤坏死、随后的前臂伤口感染和瘢痕增生的病例，以说明这是一个实际问题，并对这方面潜在问题的全貌进行回顾。在任何可能选择桡动脉作为冠状动脉血运重建管道的选择过程中，都必须预见到这些已知的供区并发症。
