Uchida A, Hochberg J, Terada Y, Fukuda I, Cruzzavala J, Gonzalez-Cruz R, Vicente M, Nakayama Y
Department of Plastic Surgery, University of Tsukuba, Ibaraki, Japan.
Ann Plast Surg. 1998 Nov;41(5):459-63. doi: 10.1097/00000637-199811000-00001.
The radial artery is used frequently in cardiac revascularization and requires an average 23-cm forearm incision. With proper instrumentation (Tsukuba-West Virginia Endoscopic Radial Artery: TW-ERA series, Takumi Cardio Co., Chiba, Japan), the radial artery can be harvested utilizing two small transverse incisions. The authors report six cases of endoscopic harvest of a radial artery graft. Length of the endoscopic incision is 2 cm proximally and 3 cm distally. Operation time and tourniquet times were approximately 80 to 120 minutes. No complications such as hematomas, nerve damage, or delay in healing were observed at the donor sites. Plastic surgeons, with their expertise in radial forearm flaps, hand surgery, and subcutaneous endoscopic techniques, can contribute greatly to the minimally invasive harvesting of the radial artery, preventing associated morbidity and improving the aesthetic and functional outcome of the donor site.
桡动脉常用于心脏血运重建，通常需要在前臂做一个平均长度为23厘米的切口。使用合适的器械（筑波-西弗吉尼亚内镜桡动脉采集系统：TW-ERA系列，日本千叶市匠心血管公司），可以通过两个小的横向切口获取桡动脉。作者报告了6例内镜下采集桡动脉移植物的病例。内镜切口近端长2厘米，远端长3厘米。手术时间和止血带使用时间约为80至120分钟。在供体部位未观察到血肿、神经损伤或愈合延迟等并发症。整形外科医生凭借其在前臂桡侧皮瓣、手部手术和皮下内镜技术方面的专业知识，可为桡动脉的微创采集做出巨大贡献，预防相关并发症，并改善供体部位的美观和功能效果。
