Impact of radial artery sacrifice in hand perfusion.

  • Gustavo Alberto Breglia Equipo de Miembro Superior - Fundacion Medica de Rio Negro y Neuquen. http://orcid.org/0000-0003-3092-4506
  • Jose Quiroga Fundacion Medica de Rio Negro y Neuquen
  • Néstor Matías Fracalossi Equipo de Miembro Superior - Fundacion Medica de Río Negro y Neuquen
  • Andrés Ruben Destaillats Fundacion Medica de Río Negro y Neuquen
DOI: https://doi.org/10.15417/490
Keywords: flap, radial artery, hand, perfusion.

Abstract

BackroundOrthopedists face situations in which the radial artery is sacrificed, either for its use as a donor of vascularized tissue for coverage of soft tissue defects or in situations where the radial artery is injured.ObjectiveThe aim of this study was to determine the morphological and / or functional changes in hand circulation after the radial artery is sacrificed.Material and MethodsA cross-sectional study was conducted based on review of medical records of 41 patients of both sexes who underwent cardiac revascularization surgery in which a radial artery graft was used. Patients were evaluated using two-dimensional and Doppler ultrasound comparing both forearms, index finger pulse oximetry of both hands at rest and after stress, and scintigraphy of both upper limbs at rest and after stress were performed. Statistical evaluation was performed.ResultsOnly two patients (4.8%) had symptoms of hand claudication during intense activities. Comparative assessment of both hands by pulse oximetry and perfusion scintigraphy yielded no statistically significant difference. There was a statistically significant difference in ultrasound measurement of the diameter of both ulnar arteries.ConclusionWe conclude, therefore, that perfusion of the hand after the sacrifice of the radial artery is not compromised.

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Author Biographies

Gustavo Alberto Breglia, Equipo de Miembro Superior - Fundacion Medica de Rio Negro y Neuquen.
Cirujano De Mano de Fundacion Medica de Rio Negro y Neuquen
Jose Quiroga, Fundacion Medica de Rio Negro y Neuquen
Cirujano Cardio Vascular - Fundacion Medica Rio Negro y Neuquen
Néstor Matías Fracalossi, Equipo de Miembro Superior - Fundacion Medica de Río Negro y Neuquen
Cirujano De Mano de Fundacion Medica de Rio Negro y Neuquen
Andrés Ruben Destaillats, Fundacion Medica de Río Negro y Neuquen
Traumatologo Fundacion Medica de Río Negro y Neuquen

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Published
2017-02-12
How to Cite
Breglia, G. A., Quiroga, J., Fracalossi, N. M., & Destaillats, A. R. (2017). Impact of radial artery sacrifice in hand perfusion. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 82(1), 54-58. https://doi.org/10.15417/490
Issue
Vol 82 No 1 (2017)
Section
Clinical Research

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