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).