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Endoscopic Radial Artery Harvest in Coronary Artery Bypass Surgery: Clinicopathological Evaluation
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Ashraf Hamed Ibrahim Abdelsalam
Staff Zu Site
Abstract In Staff Site
Journal:
World Journal of Cardiovascular Surgery Scientific Research Publishing Inc.
Volume:
Keywords :
Endoscopic Radial Artery Harvest , Coronary Artery
Abstract:
Objectives: The radial artery is used as a second arterial conduit in coronary artery bypass surgery. However, concerns exist about the thermal injury in- curred to the radial artery during endoscopic harvest. We sought to assess this effect both histologically and radiologically. Methods: From February 2015 to March 2016, 50 consecutive patients undergoing coronary artery by- pass surgery utilizing endoscopically harvested radial artery were prospec- tively studied. Computerized tomography coronary angiography scan was performed randomly in 8 patients who also had their respective radial artery analyzed histologically at the time of harvest. Standard coronary angiography was also performed in 4 additional patients driven by symptoms recurrence. Results: All patients were available for follow up at 1 year following the sur- gery. There was no mortality during follow-up. Three patients (6%) devel- oped transient complications in the harvest arm which resolved. All radial arteries were patent on follow-up imaging. Histological examination showed integrity of the arterial wall, intact endothelial lining, patent lumens and no significant pathological abnormalities. Conclusion: The use of endoscopic radial artery harvest was associated with few self-limiting morbidities and ex- cellent patency rates. In addition, there was no evidence of any thermal or traumatic injuries sustained to the radial arteries when examined histologi- cally. The use of endoscopically harvested radial arteries appears safe with excellent results.
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Department Related Publications
Kamal Mohamed Salah El Din Mohamed Ayat, "The protective effect of prone lung position on ischemia–reperfusion injury and lung function in an ex vivo porcine lung model", Elsevier, 2019
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Kamal Mohamed Salah El Din Mohamed Ayat, "Human Lungs Airway Epithelium Upregulate MicroRNA-17 and MicroRNA-548b in Response to Cold Ischemia and Ex Vivo Reperfusion", Wolters Kluwer Health, Inc., 2020
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Mahmoud Mohamed Ibrahim AbedRabbo, "Abnormal Left Ventricular Filling as A Predictor of Post Cardiac Surgery Atrial Fibrillation", Annals of R.S.C.B., ISSN:1583-6258, Vol. 25, Issue 6, 2021, Pages. 13613 – 13621, 2021
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