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TITLE:

QUALITY OF LIFE AND OUTCOME AFTER RADIAL ARTERY USE IN CORONARY ARTERY BYPASS GRAFTING

AUTHORS:

Dr Wahidullah Safi, Dr Ali Haidar Bhatti, Dr Muhammad Tahir

ABSTRACT:

Purpose: The radial artery is used to supplement internal mammary arteries and vein grafts in coronary artery bypass grafting. This study was conducted to examine the early and mid-term results of a radial artery (RA) transplant in terms of quality of life. Material and Methods: A retrospective descriptive study was conducted at the Punjab Institute of Cardiology Lahore. All patients who underwent coronary artery bypass grafting during this period were included in the study. Perioperative variables were recorded and the quality of life was assessed using the EuroQol 5D questionnaire. Results: A total of 429 patients were operated on in that period. Radial artery was used in 185 patients, out of which 157 (84%) were males and 28(16%) were females. .We performed off pump coronary artery bypass in 155(84%) patients and on pump coronary artery bypass in 30(16%) patients. Of the selected patients, 84 (45%) smoked, 81 (43%) had diabetes, and 104 (56%) had hypertension. Renal failure occurred in 4 (2.1%) off pump patients, while no patient with on pump reported renal failure. Wound infection affected 5 (3.22%) off pump patients and 1 (3.3%) with on pump patients. Only one patient with on pump (0.05%) experienced a 30-day mortality. In the middle of this period, patients expressed an opinion on the EuroQol study. Eighty-two percent followed the thirty-minute walk plan with a minimum distance of 1 km. Patients were aware of the concept of self-care because 99% regularly received medication. In addition, 83% of patients are painless. Conclusion: The radial artery gives immediate acceptable results and increases quality of life in the mid-term. Further clearance studies are needed to assess coronary artery bypass graft. Keywords: radial artery, coronary revascularization transplant, results.

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