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Cardiovascular Research Institute

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Open radial artery harvesting better preserves endothelial function compared to the endoscopic approach.

TitleOpen radial artery harvesting better preserves endothelial function compared to the endoscopic approach.
Publication TypeJournal Article
Year of Publication2019
AuthorsGaudino, MF, Lorusso, R, Ohmes, LB, Narula, N, McIntire, P, Gargiulo, A, Bucci, MRosaria, Leonard, J, Rahouma, M, Di Franco, A, He, G-W, Girardi, LN, Tranbaugh, RF, Di Lorenzo, A
JournalInteract Cardiovasc Thorac Surg
Date Published2019 Jun 03

OBJECTIVES: Both the open and endovascular techniques are commonly used for harvesting the radial artery (ORAH and ERAH, respectively), and yet, very little is known about the effects of these 2 techniques on endothelial integrity and function of the radial artery (RA). The aim of this study was to assess the endothelial integrity and function of RA harvested using the 2 approaches.

METHODS: Two independent surgical teams working in the same institution routinely use the RA for coronary artery bypass grafting exclusively employing either ORAH or ERAH. Thirty-nine consecutive patients were enrolled in this comparative study. Endothelial function after ORAH or ERAH was assessed by using the wire myograph system. The integrity of the RA endothelium was evaluated by immunohistochemical staining for erythroblast transformation specific-related gene.

RESULTS: The vasodilation in response to acetylcholine was significantly higher in RA harvested with ORAH (P ≤ 0.001 versus ERAH). Endothelial integrity was not different between the 2 groups.

CONCLUSIONS: ORAH is associated with a significantly higher endothelium-dependent vasodilation. Further investigation on the potential implications of these findings in terms of graft spasm and patency as well as clinical outcomes are needed.

Alternate JournalInteract Cardiovasc Thorac Surg
PubMed ID31157868