Patients' satisfaction and wound-site complications after radial artery harvesting for coronary artery bypass

Interact Cardiovasc Thorac Surg. 2012 Mar;14(3):324-6. doi: 10.1093/icvts/ivr091. Epub 2011 Dec 1.

Abstract

The aim of the study was to establish patients' satisfaction and the incidence of wound-site complications after radial artery (RA) harvesting for bypass surgery. A telephonic quality of life questionnaire was performed in 306 consecutive patients who had undergone coronary artery bypass grafting with the use of RA with the open technique. A psychometric Likert scale was used to define the degree of patients' satisfaction. The questionnaire concerned arm pain, cosmesis and mobility, sensory and neurological complications, and patients' general health state. The median values and the modal scores achieved the maximal value of satisfaction for all site-related complications and the mean scores were >4 out of 5. The median patients' general health state was 4. Cosmetic result of the wound was considered at least acceptable by 98% of patients. The incidence of impairing peripheral neurological complications was 16.7%. The degree of patients' satisfaction after RA harvesting was more than satisfactory and the incidence of wound-site complications was acceptable. The incidence of neurological injuries was lower than previously described.

Publication types

  • Comparative Study

MeSH terms

  • Arm / surgery*
  • Coronary Artery Bypass / methods*
  • Follow-Up Studies
  • Humans
  • Incidence
  • Netherlands / epidemiology
  • Patient Satisfaction*
  • Psychometrics
  • Quality of Life
  • Radial Artery / transplantation*
  • Retrospective Studies
  • Surgical Wound Infection / epidemiology*
  • Surgical Wound Infection / psychology
  • Surveys and Questionnaires
  • Time Factors
  • Tissue and Organ Harvesting / adverse effects*
  • Wound Healing