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首页> 外文期刊>Journal of cardiac surgery. >Harvesting of the radial artery: subfasciotomy or full skeletonization: a comparative study.
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Harvesting of the radial artery: subfasciotomy or full skeletonization: a comparative study.

机译：the动脉的收获：筋膜切开术或完全骨骼化：一项比较研究。

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BACKGROUND: Long fasciotomy of the posterior aspect of the radial artery (RA) for the purpose of sympathectomy is one of the surgical techniques for the preparation of this graft. We compared the early results of this technique with those of the RA graft harvested as a pedicle in the conventional fashion. METHODS: The study patients have been selected from the patients who underwent coronary artery bypass grafting (CABG) using the RA graft harvested either with a long posterior fasciotomy (group 1) or as a whole with a pedicle in the classical manner (group 2). Only the patients with a flow study have been included. The flow index was described as the bleeding amount of the RA in a minute per body surface area (mL/m2 min). The flow index has been performed before and after fasciotomy in group 1, and after full skeletonization in group 2. The clinical and demographic parameters and flow indices were measured and compared between the groups, and in group 1, before and after fasciotomy. RESULTS: From 218 patients with CABG using the RA between January 1998 and August 2005, a total of 57 patients were recruited into the study. Group 1 consisted of 25 patients. Thirty-two patients constituted group 2. Subfascial dissection of the RA increased the blood flow index from 48 +/- 20 mL/m2 min to 51 +/- 19 mL/m2 min (p < 0.001). The comparison of the clinical, perioperative characteristics of the patients was not different between the groups. CONCLUSIONS: The necessity of total skeletonization of the RA should not be the only option when the aim is to reduce the spasm. While subfascial dissection (sympathectomy) of the pediculed RA alone provides a satisfactory increase in the blood flow index, it also reduces the manipulation time as well as the risk of injury to the graft.
机译：背景：为进行交感神经切除术而对Long动脉（RA）后侧进行长筋膜切开术是制备该移植物的外科技术之一。我们将这种技术的早期结果与以传统方式作为蒂获得的RA移植物进行了比较。方法：本研究的患者选自采用长后筋膜切开术（第1组）或以传统方式带蒂的椎弓根整体收获的RA移植物进行冠状动脉旁路移植术（CABG）的患者。仅包括进行血流检查的患者。流动指数描述为每分钟体表面积（mL / m2 min）内RA的出血量。在第1组筋膜切开术之前和之后以及第2组完全骨骼化之后进行血流指数测量。在各组之间以及在第1组中，在筋膜切开术之前和之后，测量并比较临床和人口统计学参数以及血流指数。结果：从1998年1月至2005年8月，从218例使用RA的CABG患者中，总共招募了57例患者。第1组由25名患者组成。 32例患者组成第2组。RA筋膜下剥离使血流指数从48 +/- 20 mL / m2 min增加到51 +/- 19 mL / m2 min（p <0.001）。两组患者的临床，围手术期特征比较无差异。结论：当目的是减少痉挛时，RA完全骨架化的必要性不是唯一的选择。虽然仅使用带蒂的RA进行筋膜下解剖（交感神经切除术）可令人满意地增加血流指数，但同时也减少了操作时间以及对移植物造成伤害的风险。

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