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. 2020 Jul 24;15(7):e0236499. doi: 10.1371/journal.pone.0236499

Table 1. Randomized control trail comparing endoscopic and conventional radial artery harvesting.

Author (Year) [Reference] Study Period Country Type of Study Inclusion Criteria Outcome Note f/u: month(SD)
Shapira et al. (2006a) [32] <2005 United States RCT First-time isolated CABG Histological changes, mortality, post-op MI, stroke, wound complication Three groups (harmonic shears), pathology, and velocity Until discharge
Rudez et al. (2007) [31] 2002/10~2004/10 Croatia RCT CABG patients Mortality, neurological complication, wound pain, ulnar artery flow Post operation echo for ulnar artery 37(7)
Grus et al. (2011) [30] 2005/01~2007/12 Czech Republic RCT Exclusion criteria by doppler: occluded RA, hypoplastic RA, chronic dissection of RA, stenotic subclavian artery, stenotic ulnar artery, patient’s on chronic dialysis Wound, neurological complication, in-hospital mortality Three groups (mini-invasive), RA used as Y-graft together with LIMA Until discharge (about 10 days)
Nowicki et al. (2011) [29] 2004/1/1~ 2007/12/31 Poland RCT Exclusion criteria: 1. age > 70; 2. body weight >95 kg; 3. need of bilateral artery or additional saphenous vein; 4. abnormal Allen test; 5. coexistence of chronic renal failure or renal disease Graft occlusion, endothelium with CD31, eNOS stain Outcome measured by immunohistochemical analysis. CD31, eNOS staining patency measured by sonography 36
Kiaii et al. (2017) [25]
Burns et al. (2015) [26]
Burns et al. (2014) [27]
Kiaii et al. (2013) [28]
2005/04~2007/01 Canada RCT 1. coronary artery disease, need elective or urgent CABG; 2. age > 18; 3. Allen test negative Pain, hospital days, wound, neurological complication, mortality, patency, quality of life Urgent operation, EAH vs. OAH: 48.3% vs. 54.2% 60
Tamim et al. (2017) [24] 2013~2016 Saudi Arabia RCT Nonemergent on-pump CABG Patency f/u patency by 64-slice cardiac CT, only abstract 12
Navia et al. (2012) [34]
Navia et al. (2011) [35]
2002/01~2004/07 United States NRCT, matching. Inclusion criteria: patient receiving CABG Exclusion criteria: 1. Allen test positive or perfusion index <45%; 2. Raynaud disease, Dupuytren contracture, rheumatoid arthritis, subclavian stenosis, and renal failure needing H/D Wound complication, neurological complication, mortality, organ failure N/A Until discharge
Bisleri et al. (2016) [33] 2005/01~2014/01 Italy NRCT, matching. Patient receiving on-pump total arterial CABG surgery. At least 85%~90% target stenosis Mortality, neurological complication, MACE, patency N/A 60
Galajda et al. (2002) [47] 1999/01~2000/12 Hungary Retrospective study CABG patients Mortality, wound, neurological complication Both side RA of 200 patients 12
Patel et al. (2004) [46] Before 2004 United States Prospective, NRCT Primary CABG Exclusion criteria: incomplete palmar arch, no compensatory flow, or renal failure Neurological complications, wound complications All case harvesting unilateral side RA 6
Shapira et al. (2006b) [45] 2002/12~2004/06 United States Retrospective study CABG patients Mortality, MACE, wound complication N/A 1
Bleiziffer et al. (2007) [44]
Bleiziffer et al. (2008) [42]
2004/03~2005/07 Germany Retrospective study CABG patients Exclusion criteria: 1. age > 70; 2. abnormal Allen test or duplex finding; 3. coexistence of chronic renal disease, carpal tunnel syndrome, M. Dupuytren, severe arterial obstructive disease, visible calcification of RA Neurological complications, long-term patency rate. In 2007 study, three patients were excluded due to contraindication of application of contrast agent OAH group was randomly and retrospectively selected f/u by CT 12
Burris et al. (2008) [41] 2004/06~2007/05 United States Retrospective study Isolated off-pump CABG Exclusion criteria: creatinine level exceeding 2.0 mg/dL, abnormal Allen test, under hemodialysis, uncontrolled diabetes mellitus or Raynaud disease Pathological patency Checked by optical coherence tomography CT angiogram for patency, EAH, OAH group had cadaver artery (20, 4) Until discharge
Kim et al. (2007) [43] 2000/04~2005/07 Korea Retrospective study Primary CABG, RA as secondary conduit Exclusion criteria: 11 died within 6 months and 4 lost f/u Wound, neurological complication, short-term patency OAH during 2000/04~2003/04. EAH during 2003/05~2005/07 Patency rate by MDCT 6
Medalion et al. (2008) [40] before 2008 Israel Prospective, NRCT First-time isolated CABG MACE, wound infection, RA vasoreactivity and relaxation. Vasoreactivity and relaxation checked by histological examination, H&E, Masson trichrome and Verhoeff van Gieson’s stains Until discharge
Ito et al. (2009) [39] 2006/02~2008/03(EAH)
2003/08~2005/11(OAH)
Japan Prospective, NRCT Patient receiving CABG surgery, age <75 Exclusion criteria: chronic kidney disease, Allen test positive, RA diameter <2 mm Wound, neurological complication, mortality, MACE, ICU stay, hospital stay EAH was done by prospective study and retrospective data for control group (OAH), patency measured by angiography, patency rate counted by anastomosis Until discharge
Ito et al. (2011a) [36] Ito et al. (2011b) [37] 1999/04~2009/12 Japan Retrospective study Isolated off-pump CABG Mortality, cardiac death, cardiac event, short-term and long-term patency rate N/A 36
Dimitrova et al. (2010) [38] 2000/02~2008/01(EAH)
1995/01~2000/01(OAH)
United States Retrospective study Patient receiving CABG and receiving postoperative angiography Mortality, MACE, long-term patency rate Post-operation angiography Total patient with EAH/OAH: 727/724, included in patency rate study: total 202 EAH/OAH: 36(24)/78.3(40)

CABG, coronary artery bypass grafting; CT, computed tomography; EAH, endoscopic radial artery harvesting; f/u, follow-up time; H/D, hemodialysis; ICU, intensive care unit; LIMA, left internal mammary artery; MACE, major adverse cardiac events; MDCT, multidetector computed tomography; MI, myocardial infarction; NRCT, non-randomized controlled trial; OAH, open radial artery harvesting; RA, Radial artery; RCT, randomized controlled trial; SD, standard deviation. Ps: Different methods were used for the outcome measurement in each study: (a) by pathology: Shapira et al. (2006a); (b) by computed tomography: Tamim et al. (2017), Bleiziffer et al. (2007), (2008), Burris et al. (2008), and Kim et al. (2007); (c) by angiography: Kiaii et al. (2017), Ito et al. (2009), and Dimitrova et al. (2010); (d) by sonography: Nowicki et al. (2011).