Palmar Arch Echo-Doppler Assessment. Is it Feasible to use Radial Artery as Free Graft in Myocardial Revasculatization?

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Abstract

Background

The purpose of the ༐resent study, it is to demonstrable the feasibility of the exeresis of the radial artery, to use it as free graft in the surgery of myocardial revascularization. We closed a bloodless method repetitible in different situations as is the vascular eco-Doppler.

Material and method

The patients were randomly selected, of those that they were in the hospital by external doctor's offices, confined in common room, intensive care or coronary unit, there were rejected those ༐resent-ing a pathology that had hemodynamic com༐ro-mise. The eco-Doppler used was a ATL-HDI 3000, with a linear transducer of 10 Mhz.

Results

The results obtained offers the following information: 9.5% of the studied sample, has a circulation in their palmars arches dependent of the radial artery, the 90.5% remaining, possess a balanced circulation from ulnar predominance. This last will permit us to accomplish the exeresis of the radial artery without inconvenient of suffering ischemiain the superior member.

Conclusion

Our study shows us that is possible of accomplishing the exeresis of the radial artery, previous functional studies as is described. We must emphasize that this is not a massive indication, requiring a correct patient selection.