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Interact CardioVasc Thorac Surg 2007;6:602. doi:10.1510/icvts.2007.151795B
© 2007 European Association of Cardio-Thoracic Surgery

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Colin F. Royse
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Work in progress report - Cardiac general

ICVTS on-line discussion B Radial artery harvest preserves forearm blood flow

Alistair G. Royse and Colin F. Royse

The University of Melbourne, Parkville, Victoria 3052, Australia

Arm temperature distribution in thermographic pictures after radial artery harvesting for coronary bypass operation

eComment: We congratulate Jaworski et al. on an elegant paper examining blood flow to the forearm after radial artery harvest [1]. They report no reduction in blood flow to the forearm postoperative. This confirms our study using ultrasound to measure the forearm blood flow at the brachial artery at rest and after exercise [2]. We note that using a ‘hand grip’ test for 2 min may not elicit maximal blood flow to the forearm; since it is conducted in the absence of concurrent ischaemia [3]. We would therefore be most interested in these data where muscular contraction to the point of fatigue with concurrent ischaemia occurred; and the temperature changes that accompany the hyperaemic response following reperfusion.


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  1. Jaworski L, Siondalski P, Jarmoszewicz K, Rogowski J. Arm temperature distribution in thermographic pictures after radial artery harvesting for coronary bypass operation. Interact CardioVasc Thorac Surg 2007; 6:598–602.[Abstract/Free Full Text]
  2. Royse AG, Royse CF, Maleskar A, Garg A. Harvest of the radial artery for coronary artery surgery preserves maximal blood flow of the forearm. Ann Thorac Surg 2004; 78:539–542.[Abstract/Free Full Text]
  3. Ludbrook J. Collateral artery resistance in the human lower limb. J Surg Res 1966; 6:423–434.[CrossRef][Medline]

Related Article

Arm temperature distribution in thermographic pictures after radial artery harvesting for coronary bypass operation
Lukasz Jaworski, Piotr Siondalski, Krzysztof Jarmoszewicz, and Jan Rogowski
Interactive CardioVascular and Thoracic Surgery 2007 6: 598-602. [Abstract] [Full Text] [PDF]




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Colin F. Royse
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