Effect of low dose electrocautery usage during radial artery harvesting on the neurological outcome of the forearm: A neuroelectrophysiological study

Background: The present study aimed to investigate whether electrocautery caused any thermal injury to the forearm nerves or not. Methods: We compared the neurological outcome of two different radial artery harvesting techniques through neuroelectrophysiological studies. Preoperative values and postoperative conduction changes after one month were compared in two groups of patients. Each of the groups consisted of 20 patients. Radial arteries were harvested using scissors in Group 1 and with a low dose diathermy technique in Group 2. Results: The mean amplitude of sensory action potentials of radial nerves was significantly reduced postoperatively at the end of the first month in both groups (p = 0.01, p = 0.001). But there were no significant differences between groups with respect to the sensory action potentials of ulnar and median nerves postoperatively. There were no significant differences between groups with respect to radial, ulnar and median nerve motor conduction recordings. Conclusion: Low dose electrocautery does not cause excessive nerve injury compared with the scissors technique in radial artery harvesting. Electrocautery may be used safely for RA harvesting in the forearm. © Georg Thieme Verlag KG Stuttgart.

Yazar Kandemir Ö.
Buyukates M.
Emre U.
Aktunc E.
Turan S.A.
Ceylan E.
Kurt T.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/5333
Tek Biçim Adres 10.1055/s-2007-965577
Konu Başlıkları Coronary bypass surgery
Neurological injury
Radial artery
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Thoracic and Cardiovascular Surgeon
Dergi Cilt Bilgisi 56
Dergi Sayısı 1
Sayfalar 24 - 27
Yayın Yılı 2008
Eser Adı
[dc.title]
Effect of low dose electrocautery usage during radial artery harvesting on the neurological outcome of the forearm: A neuroelectrophysiological study
Yazar
[dc.contributor.author]
Kandemir Ö.
Yazar
[dc.contributor.author]
Buyukates M.
Yazar
[dc.contributor.author]
Emre U.
Yazar
[dc.contributor.author]
Aktunc E.
Yazar
[dc.contributor.author]
Turan S.A.
Yazar
[dc.contributor.author]
Ceylan E.
Yazar
[dc.contributor.author]
Kurt T.
Yayın Yılı
[dc.date.issued]
2008
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: The present study aimed to investigate whether electrocautery caused any thermal injury to the forearm nerves or not. Methods: We compared the neurological outcome of two different radial artery harvesting techniques through neuroelectrophysiological studies. Preoperative values and postoperative conduction changes after one month were compared in two groups of patients. Each of the groups consisted of 20 patients. Radial arteries were harvested using scissors in Group 1 and with a low dose diathermy technique in Group 2. Results: The mean amplitude of sensory action potentials of radial nerves was significantly reduced postoperatively at the end of the first month in both groups (p = 0.01, p = 0.001). But there were no significant differences between groups with respect to the sensory action potentials of ulnar and median nerves postoperatively. There were no significant differences between groups with respect to radial, ulnar and median nerve motor conduction recordings. Conclusion: Low dose electrocautery does not cause excessive nerve injury compared with the scissors technique in radial artery harvesting. Electrocautery may be used safely for RA harvesting in the forearm. © Georg Thieme Verlag KG Stuttgart.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Coronary bypass surgery
Konu Başlıkları
[dc.subject]
Neurological injury
Konu Başlıkları
[dc.subject]
Radial artery
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0171-6425
İlk Sayfa Sayısı
[dc.identifier.startpage]
24
Son Sayfa Sayısı
[dc.identifier.endpage]
27
Dergi Adı
[dc.relation.journal]
Thoracic and Cardiovascular Surgeon
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
56
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1055/s-2007-965577
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/5333
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
10
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
26 Aralık 2023 09:56
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Tıklayınız
groups radial harvesting compared nerves between artery respect postoperatively scissors patients median conduction significant forearm potentials action sensory electrocautery injury technique differences Background safely Stuttgart Verlag Thieme Electrocautery excessive Conclusion recordings reduced Methods neuroelectrophysiological through
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