Endoscopic Versus Open Radial Artery Harvesting Used in Coronary Artery Bypass Grafting, Our Experience at Queen Alia Heart Institute: Endoscopic versus open radial artery harvesting used in coronary artery

Bashar  Albkhoor; Bahi  Hyasat; Haitham  Altaani; Khaled  Alnawaiseh; Salah  Altarbsheh; Ziad  Alshwabkeh; RaziAbu  Anzeh; Safwan  Alfawares; Abdallah  Alqaisi; Mohammad Yanal  Alnaser; Said  Jaber

doi:10.52229/pbmj.v4i1.55

Authors

Bashar Albkhoor Queen Alia Heart Institute, Amman, Jordan
Bahi Hyasat Queen Alia Heart Institute, Amman, Jordan
Haitham Altaani Queen Alia Heart Institute, Amman, Jordan
Khaled Alnawaiseh Queen Alia Heart Institute, Amman, Jordan
Salah Altarbsheh Queen Alia Heart Institute, Amman, Jordan
Ziad Alshwabkeh Queen Alia Heart Institute, Amman, Jordan
RaziAbu Anzeh Queen Alia Heart Institute, Amman, Jordan
Safwan Alfawares Queen Alia Heart Institute, Amman, Jordan
Abdallah Alqaisi Queen Alia Heart Institute, Amman, Jordan
Mohammad Yanal Alnaser Queen Alia Heart Institute, Amman, Jordan
Said Jaber Queen Alia Heart Institute, Amman, Jordan

DOI:

https://doi.org/10.52229/pbmj.v4i1.55

Abstract

Coronary artery stenosis bypass by using radial artery is good techniques which have longer outcomes. In coronary artery bypass grafting (CABG) the radial artery has several advantages. The radial artery has a thick muscular wall which is more susceptibleto contraction from the competitive flow. As compared to the open harvesting technique endoscopic harvest of the radial artery has long lasting cosmetic results it also reduces the post-operative complications. The purpose of the study is to compare the two harvesting techniques and compare the short term and long term results related to intra-operative and post-operative outcomes Methods: This is retrospective study (In Queen Alia Heart Institute, Amman ,Jordan) to compare endoscopic radial artery technique versus open technique by reviewing patients files through a period between June 2013 and June 2018. Total 50 patients of CABG surgery was selected they were divided into two groups. Group A includes endoscopic radial harvest (n= 10) and Group B includes open harvest (n=40).Data was collected on predesigned Performa. Data were entered and analyze through IBM SPSS 22.0 Results: There was insignificant dissimilarity between the pre-operative outcomes between groups. The Post-operative outcomes were almost same in both groups except hand numbness (P-value<0.005).The comparison of intraoperative outcomes like harvest time between both groups indicate that the mean harvest time in group A was shorter than group B (39.20 + 3.73 Vs 51.90 + 2.09, P-value=0.000). The operative time in group A was higher than the group B (306.0 + 11.6 Vs 278 + 4.25 p-value=0.00). The hospital stays in both groups were insignificantly different (p = 0.09) Conclusions: Endoscopic radial artery harvest is best suited technique for CABG surgery as it significantly decreases the harvest time as well as hospital stay. It is also proven that it is safer, less painful and better wound appearance technique with exceptional outcomes based on positive surgical experience.

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