Less invasive radial artery harvest

Massimo Massetti, G Babatasi, P Bruno, O Le Page, E Neri, P Nataf, J. L Gerard, A. Khayat

Risultato della ricerca: Contributo in rivistaArticolo in rivista

5 Citazioni (Scopus)


BACKGROUND: Recent studies have sparked a renewed interest in the use of autogenous radial arteries in coronary operations. Some concerns have been found about sequelae of conventional harvesting. A less invasive technique for radial artery harvesting has been proposed by others using endoscopic devices. This technique is time consuming, needs expensive instrumentation and an important learning curve. METHODS: A new less invasive approach for radial harvesting has been developed with a light assisted retractor under direct vision. A small skin incision, median in the forearm, is followed by dissection of the proper plane of the artery. A subcutaneous tunnel is created around the vessel and all the branches are ligated or clipped. The dissection of the pedicle under the skin is completed with the aid of a modified light assisted retractor, originally designed for the saphenous vein harvesting. The incision is closed after heparin reversal with a small redon as drainage. RESULTS: A preliminary serie of 15 patients have been operated with this technique. In all patients the radial artery was patent and functional at the postoperative angiography. Morbidity included only a light hematoma at the beginning of our experience. CONCLUSION: This less invasive technique for the radial artery harvesting appears to be an excellent surgical compromise between the open technique and the endoscopic procedure; it is easy to perform, the learning curve is acceptable and it offers an excellent aesthetic result.
Lingua originaleEnglish
pagine (da-a)S392-397
Volume5 Suppl 4
Stato di pubblicazionePubblicato - 2002


  • Dissection
  • Humans
  • Radial Artery
  • Tissue and Organ Harvesting


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