415 Clinical outcomes and Patient satisfaction with Bilateral Radial Artery harvest in coronary surgery

Abstract Aim Coronary artery bypass graft surgery remains an effective treatment strategy for complex coronary disease.There paucity of data regarding the use bilateral radial conduits with wound, neurological and functional complications following surgical revascularisation. Method We reviewed outcomes retrospective analysis prospectively collected clinical from our database identified 30 patients who underwent CABG requiring harvest.Patient satisfaction was assessed using a quality life questionnaire descriptors on Likert Scale. Results The mean duration follow-up 29.8 ± 8.5 months.The age 69.0 10.8 years.The commonest indications harvest were existing varicose veins or previous vein (combined 74% cases) precluding venous conduit use. Three out 24 (12.5%) reported arm pain discomfort ‘rarely’ ‘sometimes’ whilst all others (87.5%) asymptomatic.Three long term permanent sensory deficit further six (25%) having some other less significant loss. Significant motor dysfunction in one patient (4.2%) 5 (20.8%) milder forms deficit. 95.8% considered aesthetic outcome site appearance to be at least acceptable (54.1% rated as excellent). One ‘moderate’ change otherwise, remaining ‘minimal’(12.5%) ‘no change’ (83%). Conclusions Open is choice when alternatives are not favourable