Long term follow up of radial artery in

coronary artery bypass graft surgery

Abstract:
Objective:
How can we improve coronary artery surgery to help our patients
to enjoy a good quality of life.The aim of this study is to asses quality of
life after coronary artery surgery.

Material and method:

Total of 272 patients who got coronary artey surgery with internal
mammary artery and radial artery from 2012 to 2021.we got
telephonic contact with 244 (89.7%) patients and we were unable to
contact 28 (10.2%) patients. 20 (8.9%) of 244 patients died after
hospital discharge.The average duration of study was 54 months.we
inquired about their quality of life according to QOL-5 ( WHO
questionare) which included mobility, selfcare, usual activities,
pain/discomfort and anxiety. Surgical approach included primary
median sternotomy, coronary grafting IMA and RA. Of 244 patients, 221
(81.25%) underwent OPCAB, 42 (15.44%) underwent ONCAB and 9
(3.3%) underwent intime conversion ONCAB as they did not tolerate
OPCAB surgery manoeuvres.
Results:
In this retrospective follow up study, 12 (4.9%) patients out 244 got
readmision due to chest pain, 7 (58.3%) of 12 patients got repeat
angiography and 1 (14%) of these 7 patients got angioplasty, 2 (16.6%)
of 12 patients did not underwent angiography and 1 (8.3%) of 12
patients got pacemaker.

Conclusion:
Our study demonstrated majority of patients who underwent Coronary
artery grafting with radial artery along with mammary artery were
enjoying good quality of life according to QOL-5 ( WHO questionare).

Dr Tayyab Pasha, Dr Amir Khan, Dr. Imran Assad-u-allah Kulyar

Cardiac Surgery Department, Jinnah hospital Lahore