Ekin İLKELİ, Ali Cemal DÜZGÜN, Ayhan UYSAL

Ulnar Arter Akımının ve Allen Testinin Radial Arter Greft Tercihine Etkilerinin Değerlendirilmesi

Amaç: Bu araştırma; koroner bypass cerrahisinde preoperatif ve postoperatif ulnar arter akımları ile preoperatif Allen testinin radial arter grefti kullanımındaki etkinliğini değerlendirmektir. Gereç ve Yöntem: Koroner bypass cerrahisi uygulanan ve radial arterin greft olarak kullanıldığı 30 hastanın verilerini geriye dönük olarak inceledik. Koroner baypas ameliyatı öncesi ve sonrasında arteriyel Doppler ultrasonografi ve tüm hastalara ameliyat öncesi modifiye Bedford Allen testi yapıl-mıştı. Tüm hastalarda radial arter grefti kullanılmıştı. Postoperatif dönemde ulnar arter akımları 3. ve 6. ayda çekilen doppler ultrasonografi ile değer-lendirildi. Ortama ulnar arter çapı ve akım hızları preoperatif doppler ultrasonografi değerleri ile karşılaştırıldı. Bulgular: Radial greft kullanımı sonrası ulnar arterin akım ve hız ölçümlerinde artış tespit edildi. Ortalama ulnar arter akımı 31±21 ml/dk'dan 46±32 ml/dk'ya, ortalama ulnar arter akım hızı 56±19 cm/sn'den 78±16 cm/sn'ye yükselmişti (p

Evaluation of the Effects of Ulnar Artery Flow and Allen’s Test on Radial Artery Graft Preference

Objective: This study is to evaluate the efficacy of preoperative and postoperative ulnar arterial flows and preoperative Allen’s test in using radial artery graft once coroner bypass surgery. Material and Method: We retrospectively analyzed the data of 30 patients who underwent coronary bypass surgery and the radial artery was used as a graft. Arterial Doppler ultrasonography was performed before and after coronary bypass surgery, and the preoperative modified Bedford Allen test was applied to all patients preoperatively. A radial artery graft was used all patients. It was understood from the records that the ulnar artery flows in the postoperative period were controlled by Doppler ultrasonography at the 3rd and 6th months. Ulnar artery diameter and flow velocities were com-pared with preoperative Doppler ultrasonography data. Results: There was an increase in flow and velocity measurements in ulnar artery after use of radial artery as a graft. The flow of mean ulnar artery increased from 31 ± 21 ml/min to 46±32 ml/min, and the mean speed of ulnar artery increased from 56±19 cm/sec to 78±16 cm/sec (p

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