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Can ulnar artery velocity changes be used as a preoperative screening tool for radial artery grafting in coronary artery bypass?

Abstract：

:Radial artery harvesting for coronary revascularization may result in digit ischemia if collateral circulation is inadequate. The purpose of this study was to compare changes in ulnar artery flow velocity during radial artery compression (RAC) with changes in first- and second-digit pressures during RAC, a previously validated predictor of digital ischemia. Photoplethysmography was used to measure first- and second-digit arterial pressures before and during RAC on 80 extremities. Color flow duplex imaging was used to measure distal ulnar artery peak systolic velocity before and during RAC. Seventy-eight of eighty extremities had a slight increase in ulnar artery velocity with RAC. There was no correlation between ulnar artery velocity changes and digit pressure changes. Measurement of ulnar artery velocity during RAC is not a useful predictor of digit pressure changes. Measurement of segmental upper extremity pressures with first- and second-digit pressure measurement during radial artery compression should remain the preferred preoperative screening tool for radial artery harvest prior to CABG.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Sullivan VV,Higgenbotham C,Shanley CJ,Fowler J,Lampman RM,Whitehouse WM Jr,Wolk SW

doi

10.1007/s10016-001-0248-8

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

253-9

issue

3

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(06)60997-7

journal_volume

17

pub_type

杂志文章

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