Mustafa ALDEMİR, Hasan Berat CİHAN, Nezat ERDİL, Bektaş BATTALOĞLU, Vedat NİSANOĞLU

Radial arter çıkarıldıktan sonra geç dönemde beklenmeyen bir komplikasyon: olgu sunumu

Radial arter greftleri koroner arter bypass greftleme ameliyatlarında, uzun dönem açıklık oranlarının ven greftlere göre daha iyi olması nedeniyle, yaygın biçimde kullanılmaya başlamıştır. Radial arter çıkarılmasına bağlı gelişen komplikasyon oranı oldukça düşüktür. Bu komplikasyonların çoğu minör komplikasyondur ve erken dönemde oluşur, tanı ve tedavisi kolaydır. Altmış altı yaşında erkek hastaya üçdamar hastalığı nedeniyle iki taraflı radial arter grefti kullanılarak dörtlü koroner bypass yapıldı. Taburcu olduktan iki ay sonra hasta her iki kolda, radial arter insizyonlarının proksimalinde ağrısız şişlik yakınmasıyla başvurdu. Lokal anestezi ile her iki koldaki kitle açıldı, hematom boşaltıldı, aktif kanama odağı bulunmadı. Her iki loja dren yerleştirilip kollar bandajla sarıldı.

An unexpected late complication after harvesting of the radial artery: a case report

Radial artery is now used widely as a graft for coronary artery bypass grafting due to better long-term patency rates compared to vein grafts. Arm complications after radial artery procurement are very low. Most of these complications are minor and occur early, their diagnosis and treatment is not difficult. A 66-year-old patient underwent coronary artery bypass surgery for triple vessel disease using bilateral radial arteries. Two months after discharge, he presented with painless swelling in both arms proximal to radial artery incisions. The masses in both arms were opened with local anesthesia, hematoma was removed, but no active bleeding was detected. Drains were placed in both lodges and both arms were bandaged.

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