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Title: Post harvest wound infection and patient's perception: comparative study between radial artery and saphenous vein harvest sites.
Austin Authors: Hata, Mitsumasa;Raman, Jai S ;Matalanis, George ;Rosalion, Alexander;Storer, Meg ;Hare, David L ;Buxton, Brian F 
Affiliation: Department of Cardiac Surgery, Austin & Repatriation Medical Centre, University of Melbourne, Australia
Issue Date: 1-Apr-2002
Publication information: Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia; 8(2): 97-101
Abstract: Despite renewed clinical interest in radial artery grafts (RA) for coronary artery bypass grafting, there is a paucity of controlled prospective data on its efficacy. We report on the rate of harvest related complications from a randomized radial artery study.Two hundred eighty nine patients were divided into two groups. Group 1 received RA grafts (n=154 patients) and Group 2 (n=135 patients) received saphenous vein grafts (SVG). Postoperative wound problems were assessed using a questionnaire. Postoperative harvest site infections were also carefully documented.In group 1, 6 of 154 (3.9%) patients had harvest site wound infections. Five of them improved by antibiotic therapy alone. In group 2, 24 of 135 (17.8%) patients had harvest site wound infections (p=0.001 vs. group 1). Fifteen of these patients needed redressing due to discharge from the wound. One hundred forty-nine patients (96.7%) in group 1 answered that their hand function was normal on the questionnaire. Concerns and discomfort about the arm scars in the group 1 were of a similar value of 5.2% (8/154), respectively. In group 2, the incidence of those about the leg were 7.4% (10/135) and 11.9% (16/135), respectively. Although there was no significant difference in concerns about the scar, discomfort was significantly higher in group 2 compared with group 1 (p=0.0139).RA harvest is associated with fewer wound infections and scar discomfort than SVG harvest. Radial artery harvest is almost acceptable in terms of a patient's perception. However, there are still patients who have some symptoms in the forearm after RA harvest. Long-term follow-up is necessary for patient's hand function.
Gov't Doc #: 12027796
ORCID: 0000-0001-9554-6556
Journal: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
PubMed URL: 12027796
Type: Journal Article
Subjects: Aged
Body Mass Index
Coronary Artery Bypass
Follow-Up Studies
Middle Aged
Patient Satisfaction
Radial Artery.transplantation
Saphenous Vein.transplantation
Surgical Wound Infection.epidemiology.etiology
Treatment Outcome
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