neurological study of radial nerve conduction during endoscopic radial artery harvesting:an intra‐operative evaluation

نویسندگان

gianluigi bisleri division of cardiac surgery, university of brescia medical school, brescia, italy

laura giroletti division of cardiac surgery, university of brescia medical school, brescia, italy

roberto stefini division of neurosurgery, spedali civili, brescia, italy

bruno guarneri section of neurophysiopathology, spedali civili, brescia, italy

چکیده

endoscopic radial artery harvesting (erah) is a feasible and attractive minimally invasive approach for conduit procurement, however there have been concerns about a potential neurological damage occurring at the harvest limb site secondary to injury of the radial nerve during endoscopic harvesting. we present a case of erah in which we evaluated intraoperatively the characteristics of radial nerve conduction by means of electroneuromyography (enm) during harvesting. no pathological changes of nerve conduction were detected at the harvest limb site during surgery and postoperatively, thereby supporting the benefits of the endoscopic approach in terms of neurological outcomes following radial artery procurements with a less invasive approach.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Neurological Study of Radial Nerve Conduction During Endoscopic Radial Artery Harvesting:An Intra‐Operative Evaluation

Endoscopic radial artery harvesting (ERAH) is a feasible and attractive minimally invasive approach for conduit procurement, however there have been concerns about a potential neurological damage occurring at the harvest limb site secondary to injury of the radial nerve during endoscopic harvesting. We present a case of ERAH in which we evaluated intraoperatively the characteristics of radial n...

متن کامل

Intraoperative radial nerve injury during coronary artery surgery – report of two cases

BACKGROUND Peripheral nerve injury and brachial plexopathy are known, though rare complications of coronary artery surgery. The ulnar nerve is most frequently affected, whereas radial nerve lesions are much less common accounting for only 3% of such intraoperative injuries. CASE PRESENTATIONS Two 52- and 50-year-old men underwent coronary artery surgery. On the first postoperative day they bo...

متن کامل

Evaluation of sensory nerve conduction velocity testing of the superficial radial nerve.

The purposes of this study were to evaluate the methods for examining the superficial radial nerve and to compare velocities and amplitudes of responses based on electrode shape and placement and site of stimulation. We selected 51 subjects with a mean age of 37 years from a healthy group. Twenty additional subjects with a mean age of 28 were also examined. Nerve conduction was done by stimulat...

متن کامل

Endoscopic radial artery harvesting procedure for coronary artery bypass grafting.

Development and adoption of endoscopic minimally invasive saphenous vein harvesting prompted its application to the radial artery in an effort to minimize surgical trauma. Recently, we reported that endoscopic radial artery harvesting was associated with better wound appearance and it proved to be safe and effective, with less pain and fewer wound complications than the open surgical technique....

متن کامل

An improved technique for radial nerve conduction studies.

A technique for recording evoked sensory potentials from the radial nerve has already been reported by us (Downie and Scott, 1964). This technique, although reliable, is time consuming and occasionally difficult and the amplitude of potentials may be as low as 1 to 2 microvolts. The purpose of this communication is to describe a simpler technique by which potentials of greater amplitude can be ...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
journal of cardio-thoracic medicine

جلد ۲، شماره ۳، صفحات ۲۰۷-۲۰۹

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023