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- Title
Endoscopic versus open radial artery harvesting: A meta-analysis of randomized controlled and propensity matched studies.
- Authors
Rahouma, Mohamed; Kamel, Mohamed; Benedetto, Umberto; Ohmes, Lucas B.; Di Franco, Antonino; Lau, Christopher; Girardi, Leonard N.; Tranbaugh, Robert F.; Barili, Fabio; Gaudino, Mario
- Abstract
<bold>Background: </bold>We sought to investigate the impact of radial artery harvesting techniques on clinical outcomes using a meta-analytic approach limited to randomized controlled trials and propensity-matched studies for clinical outcomes, in which graft patency was analyzed.<bold>Methods: </bold>A systematic literature review was conducted using PubMed and MEDLINE to identify publications containing comparisons between endoscopic radial artery harvesting (ERAH) and open harvesting (ORAH). Only randomized controlled trials and propensity-matched series were included. Data were extracted and analyzed with RevMan. The primary endpoint was wound complication rate, while secondary endpoints were patency rate, early mortality, and long-term cardiac mortality.<bold>Results: </bold>Six studies comprising 743 patients were included in the meta-analysis. Of them 324 (43.6%) underwent ERAH and 419 (56.4%) ORAH. ERAH was associated with a lower incidence of wound complications (odds ratio: 0.33, confidence interval 0.14-0.77; p = 0.01). There were no differences in graft patency, and early and long-term cardiac mortality between the two techniques.<bold>Conclusion: </bold>ERAH reduces wound complications and does not affect graft patency, or short- and long-term mortality compared to ORAH.
- Subjects
RADIAL artery; ENDOSCOPIC surgery; MORTALITY; CLINICAL trials; INJURY complications; SURGICAL wound dehiscence; SURGICAL site infections; COMPARATIVE studies; ORGAN donation; ENDOSCOPY; GRAFT versus host reaction; RESEARCH methodology; MEDICAL cooperation; META-analysis; PROBABILITY theory; PROGNOSIS; RESEARCH; TIME; SYSTEMATIC reviews; BIBLIOGRAPHIC databases; EVALUATION research; PREVENTION; SURGERY
- Publication
Journal of Cardiac Surgery, 2017, Vol 32, Issue 6, p334
- ISSN
0886-0440
- Publication type
journal article
- DOI
10.1111/jocs.13148