Abstract:
:There is renewed interest in the use of the radial artery as a conduit for coronary artery bypass surgery. The radial artery is, however, a very muscular artery, prone to vasospasm. Milrinone, a potent vasodilator, has demonstrated vasodilatory properties superior to those of papaverine. In this report, we describe our technique of radial artery harvesting and the adjunctive use of intraluminal milrinone as a vasodilator in the preparation of this conduit for coronary artery bypass grafting. We have used these techniques in 25 patients who have undergone coronary artery bypass grafting using the radial artery. No hand ischemic complications have been observed in this group. Intraluminal milrinone appears to dilate and relax the radial artery, rendering this large conduit spasm free and very easy to use. We recommend the skeletonization technique for radial artery harvesting and the use of intraluminal milrinone as a radial artery vasodilator in routine myocardial revascularization.
journal_name
Tex Heart Inst Jjournal_title
Texas Heart Institute journalauthors
García-Rinaldi R,Soltero ER,Carballido J,Mojica Jsubject
Has Abstractpub_date
1999-01-01 00:00:00pages
189-91issue
3eissn
0730-2347issn
1526-6702journal_volume
26pub_type
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journal_title:Texas Heart Institute journal
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doi:
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journal_title:Texas Heart Institute journal
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