Author/Authors :
Bisleri، Gianluigi نويسنده Division of Cardiac Surgery, University of Brescia Medical School, Brescia, Italy , , Giroletti، Laura نويسنده Division of Cardiac Surgery, University of Brescia Medical School, Brescia, Italy , , Stefini، Roberto نويسنده Division of Neurosurgery, Spedali Civili, Brescia, Italy , , Guarneri، Bruno نويسنده Section of Neurophysiopathology, Spedali Civili, Brescia, Italy , , Muneretto، Claudio نويسنده Division of Cardiac Surgery, University of Brescia Medical School, Brescia, Italy ,
Abstract :
Endoscopic radial artery harvesting (ERAH) is a feasible and attractive minimally
invasive approach for conduit procurement, however there have been concerns about
a potential neurological damage occurring at the harvest limb site secondary to injury
of the radial nerve during endoscopic harvesting. We present a case of ERAH in which
we evaluated intraoperatively the characteristics of radial nerve conduction by means
of electroneuromyography (ENM) during harvesting. No pathological changes of
nerve conduction were detected at the harvest limb site during surgery and
postoperatively, thereby supporting the benefits of the endoscopic approach in terms
of neurological outcomes following radial artery procurements with a less invasive
approach.