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Ann Thorac Surg 1995;59:118-126
© 1995 The Society of Thoracic Surgeons
Department of Cardiothoracic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
Accepted for publication June 29, 1994.
The radial artery was proposed and then abandoned as a coronary artery bypass graft in the 1970s. Development of new pharmacologic antispasmodic agents and minimally traumatic harvesting techniques has led to a revival of the use of the radial artery in coronary artery bypass procedures. Unlike the saphenous vein in the lower extremities, the radial artery in the volar forearm is not a subcutaneous structure. Safe harvest of the artery requires an understanding of volar forearm anatomy. Based on review of anatomy, cadaver dissection, and clinical experience with 40 patients, we have developed a technique for radial artery harvest. The volar forearm is divided into three zones: the proximal zone, the middle zone, and the distal zone. In each zone, important anatomic landmarks are identified. Our harvesting technique has resulted in minimal postoperative morbidity and no postoperative ischemic complications. Although the pedicled internal thoracic artery graft remains the primary arterial conduit for myocardial revascularization, the radial artery is an excellent additional bypass conduit.
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A. D. Fox, M. S. Whiteley, J. Phillips-Hughes, and J. Roake Acute upper limb ischemia: a complication of coronary artery bypass grafting Ann. Thorac. Surg., February 1, 1999; 67(2): 535 - 536. [Abstract] [Full Text] [PDF]
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S. Noda and H. B. Barner Arterial conduits Ann. Thorac. Surg., January 1, 1999; 67(1): 285 - 286. [Full Text] [PDF]
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Y. Terada, A. Uchida, I. Fukuda, J. Hochberg, T. Mitsui, and F. Sato Endoscopic harvesting of the radial artery as a coronary artery bypass graft Ann. Thorac. Surg., December 1, 1998; 66(6): 2123 - 2124. [Abstract] [Full Text] [PDF]
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J. Tatoulis, B. F. Buxton, and J. A. Fuller Bilateral radial artery grafts in coronary reconstruction: technique and early results in 261 patients Ann. Thorac. Surg., September 1, 1998; 66(3): 714 - 720. [Abstract] [Full Text] [PDF]
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G.-W. He Verapamil plus nitroglycerin solution maximally preserves endothelial function of the radial artery: Comparison with papaverine solution J. Thorac. Cardiovasc. Surg., June 1, 1998; 115(6): 1321 - 1325. [Abstract] [Full Text] [PDF]
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G. A. Dumanian, K. Segalman, L. A. Mispireta, J. A. Walsh, M. F. Hendrickson, and E.F. S. Wilgis Radial Artery Use in Bypass Grafting Does Not Change Digital Blood Flow or Hand Function Ann. Thorac. Surg., May 1, 1998; 65(5): 1284 - 1287. [Abstract] [Full Text] [PDF]
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G.-W. He and C.-Q. Yang Characteristics of adrenoceptors in the human radial artery: Clinical implications J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1136 - 1140. [Abstract] [Full Text] [PDF]
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B. F. Buxton, A. T. Chan, A. S. Dixit, N. Eizenberg, R. D. Marshall, and J. S. Raman Ulnar Artery as a Coronary Bypass Graft Ann. Thorac. Surg., April 1, 1998; 65(4): 1020 - 1024. [Abstract] [Full Text] [PDF]
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W. H. Johnson III, R. S. Cromartie III, J. E. Arrants, J. D. Wuamett, and J. B. Holt Simplified Method for Candidate Selection for Radial Artery Harvesting Ann. Thorac. Surg., April 1, 1998; 65(4): 1167 - 1167. [Abstract] [Full Text] [PDF]
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E. Kaufer, S. M. Factor, R. Frame, and R. F. Brodman Pathology of the Radial and Internal Thoracic Arteries Used as Coronary Artery Bypass Grafts Ann. Thorac. Surg., April 1, 1997; 63(4): 1118 - 1122. [Abstract] [Full Text]
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R. F. Brodman, H. J. Issenberg, J. S. Glickstein, and R. Frame Use of a Free Radial Artery Graft for Correction of Bland-White-Garland Syndrome Ann. Thorac. Surg., November 1, 1996; 62(5): 1525 - 1526. [Abstract] [Full Text]
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A. Bhan, R. Sharma, S. Narang, P. Venugopal, R. F. Brodman, and R. Frame Extended Use of Pulse Oximetry in Harvesting Radial Artery Ann. Thorac. Surg., November 1, 1996; 62(5): 1572 - 1573. [Full Text]
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E. Manasse, G. Sperti, H. Suma, C. Canosa, A. Kol, L. Martinelli, R. Schiavello, F. Crea, A. Maseri, and G. F. Possati Use of the Radial Artery for Myocardial Revascularization Ann. Thorac. Surg., October 1, 1996; 62(4): 1076 - 1082. [Abstract] [Full Text]
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F. D. A. d. Costa, I. A. d. Costa, R. Poffo, D. Abuchaim, R. Gaspar, L. Garcia, and D. L. Faraco Myocardial Revascularization With the Radial Artery: A Clinical and Angiographic Study Ann. Thorac. Surg., August 1, 1996; 62(2): 475 - 479. [Abstract] [Full Text]
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A. H. Chen, T. Nakao, R. F. Brodman, M. Greenberg, R. Charney, M. Menegus, M. Johnson, R. Grose, R. Frame, E. C. Hu, et al. EARLY POSTOPERATIVE ANGIOGRAPHIC ASSESSMENT OF RADIAL ARTERY GRAFTS USED FOR CORONARY ARTERY BYPASS GRAFTING J. Thorac. Cardiovasc. Surg., June 1, 1996; 111(6): 1208 - 1212. [Abstract] [Full Text]
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G.-W. He and C.-Q. Yang Use of Verapamil and Nitroglycerin Solution in Preparation of Radial Artery for Coronary Grafting Ann. Thorac. Surg., February 1, 1996; 61(2): 610 - 614. [Abstract] [Full Text]
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R. Gutti, C. V. R. Kummara, U. R. Guntuboina, M. R. Illa, P. R. Dasari, R. F. Brodman, R. Frame, and M. Camacho Radial Artery in Coronary Artery Bypass Grafting Ann. Thorac. Surg., February 1, 1996; 61(2): 776 - 777. [Full Text]
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D. B. Tixier, C. Acar, and A. F. Carpentier Coronary-Coronary Bypass Using the Radial Artery Ann. Thorac. Surg., September 1, 1995; 60(3): 693 - 694. [Abstract] [Full Text]
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R. F. Brodman Radial Artery Harvest Ann. Thorac. Surg., July 1, 1995; 60(1): 231 - 231. [Full Text]
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