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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Cost-effective endoscopic radial artery harvesting
Roxanne V Newman1, W Greg Lammle, Kristy J Matz
1Meritcare Medical Center, Department of Cardiothoracic Surgery, Fargo, North Dakota 58123, USA. roxanne.newman@meritcare.com
The Annals of Thoracic Surgery
|June 27, 2006
Summary
Endoscopic radial artery harvesting is now more affordable using reusable tools and thermal welding shears. This technique reduces patient recovery time and improves cosmetic outcomes.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Procedures
Background:
- Endoscopic radial artery harvesting is standard for coronary artery bypass grafting.
- Existing endoscopic methods can be costly due to disposable instrument requirements.
Purpose of the Study:
- To present a cost-effective endoscopic technique for radial artery harvesting.
- To evaluate the feasibility and outcomes of this reduced-cost approach.
Main Methods:
- Utilized a combination of reusable retractors and disposable thermal welding shears.
- Employed an endoscopic approach for radial artery harvesting.
Main Results:
- The described technique significantly reduces the cost associated with endoscopic radial artery harvesting.
- The method maintains or improves upon existing outcomes regarding patient morbidity and cosmetic results.
Conclusions:
- A reduced-cost endoscopic radial artery harvesting technique is feasible.
- This approach offers a cost-effective alternative for patients undergoing coronary artery bypass grafting, with favorable outcomes.
Related Concept Videos
Assessment of radial pulse
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
Assessment of apical radial pulse
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

