saphenous vein harvest wound complications

/Length 10 /FormType 1 >> Objectives: In the postoperative course after conventional open removal of the greater saphenous vein, wound healing disturbances are common and often painful. x�+� � | Surgeons should weigh the risk of wound complications vs decreased primary and primary assisted patency when deciding which method to use for vein harvest. � �| � >> /Encoding /WinAnsiEncoding >> stream x�+� � | NIH /Font x�+� � | Coronary atherosclerosis is most prevalent among males, diabetics, smokers, and those with obesity, hyperlipidemia… endobj Menu. /Subtype /Form Background: Saphenous vein harvested with a traditional longitudinal technique often results in leg wound complications. >> Wound infection is still a common problem after open long saphenous vein harvesting. 24 0 obj Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. Abstract. 23 0 obj To determine whether less-invasive saphenous vein harvest reduces morbidity in patients undergoing infrainguinal bypass, we retrospectively compared 61 pat >> These long incisions become terrible big wounds if not prevented. The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. endobj endstream x�S�*�*T0г4107Q0 A(���I�UЏ�4Pp�W� To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical /GS1 38 0 R 14 0 obj endobj Potential risk factors that were analyzed included age, sex, >> About Europe PMC; Preprints in Europe … /Type /Page Abbaszadeh M, Arabnia MK, Rabbani A, Mandegar MH, Vahedi S. Rev Bras Cir Cardiovasc. Risk factors for limb surgical site infection following coronary artery bypass graft using open great saphenous vein harvesting: a retrospective cohort study. /Encoding /WinAnsiEncoding J Vasc Surg. /Type /Annot Secondary surgical-site infection after coronary artery bypass grafting: A multi-institutional prospective cohort study. Minimally invasive endoscopic saphenous vein harvesting may decrease wound complications. eCollection 2018. /Rect [149.794 40.3927 191.644 34.0987] >> stream Methods From February 1995 to November 1997, 1473 patients undergoing CABG at New England Medical Center with use of the greater or lesser saphenous veins were followed. /F2 3 0 R /Filter /FlateDecode 2 0 obj H��W[�۸~�_�G��Qw�O�t�) ��C�X�ms#K^Q�w���~��$��)�42E��w���n����c�*�B��T�>�����zx�݆�������E�oŒ�q��Qζ�����c�GI��VV��QD޿�b^wik��Ć�\��A�D;�_� Chernyavskiy A, Volkov A, Lavrenyuk O, Terekhov I, Kareva Y. J Cardiothorac Surg. Wound healing complications related to saphenous vein harvesting are common, with reported surgical site infection rates ranging from 2 to 20%. << Bitondo JM , Daggett WM , Torchiana DF , et al. /Length 10 Left: 4 days after bypass, Right: 6 weeks after bypass. Results: Leg wound complications following endoscopic harvest occurred in 3% (9/276) of patients versus 17% (110/643) of traditional harvest patients (p < 0.0001). << Instead, endoscopic saphenous vein harvesting requires only a few small incisions in the leg to remove the vein, with the aid of a special scope. >> /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] 15 0 obj << 21 0 obj /Type /Border J Vasc Surg. stream << << %PDF-1.7 endobj x�+� � | << We present our experience in treating 23 patients with major leg wound complications after coronary revascularization procedures. independent predictors of major leg wound complications (p<0.05). /BBox [0.000000 0.000000 595.276000 841.890000] Horvath KD, et al. /A 45 0 R endobj Endoscopic vessel harvesting (EVH) is a surgical technique that may be used in conjunction with coronary artery bypass surgery (commonly called a "bypass"). x�+� � | >> Ann Thorac Surg. Platelets are important for the healing process. yet OVH was associated with higher wound complications. Endoscopic saphenous vein harvest is associated with a reduced incidence of serious wound complications and, in selected patients, shortened postoperative hospital stay. << endstream /Length 46 Surgical site infection (SSI) after saphenous vein graft harvesting is a postoperative complication that may occur in up to 18% of patients who undergo coronary artery bypass surgery (CABG). >> Sometimes, major wound complications related to great saphenous vein (GSV) harvest site may prolong the patient hospital stay and may rarely require extensive debridement along with revascularization to salvage the limb, plastic surgical procedures, and sometimes, even amputation. x�S�*�*T0г4107Q0 A(���I�UЏȴPp�W� >> /Filter /FlateDecode /Length 10 /Type /Annot Saphenous vein grafts are the most commonly used conduits for CABG with the high rates of graft failure and the harvest site complications being the major adverse outcomes for this procedure. /BleedBox [0.0 0.0 612.0 792.0] Endoscopie saphenous vein harvest is associated with a reduced incidence of serious wound complications and, in selected patients, shortened postoperative hospital stay. Complications occur in the leg from which the saphenous vein is harvested in approximately 1-24% of cases in which the SVG is prepared using a conventional incision. /H /N >> /TrimBox [0.0 0.0 612.0 792.0] << /Filter /FlateDecode >> 2008 Jul-Sep;23(3):317-22. doi: 10.1590/s0102-76382008000300006. For patients with coronary artery disease, a physician may recommend a bypass to reroute blood around blocked arteries to restore and improve blood flow and oxygen to the heart. /Filter /FlateDecode Conclusions: Although the long‐term patency rate needs time to be proven, the endoscopic greater saphenous vein harvest method is an attractive and effective method. be avoided for Doppler ankle pressures less than 50 mm Most recently, Allen et al. 8 0 obj � �4 � Saphenous vein harvest wound complications: risk factors, identification, prevention, and management. /Length 46 /FormType 1 Ferdinand FD, MacDonald JK, Balkhy HH, Bisleri G, Hwang HY, Northrup P, Trimlett RHJ, Wei L, Kiaii BB. /A 44 0 R /BaseFont /Helvetica-Bold >> Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. << Background: To compare the clinical outcomes, quality of saphenous vein (SV) grafts, and wound complications between endoscopic vein harvesting (EVH) technique and open vein harvesting (OVH) technique in patients with coronary artery bypass graft (CABG) surgery. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Potential risk factors that were analyzed included age, sex, Operative outcomes of minimally invasive saphenous vein harvest. Allen KB, Heimansohn DA, Robison RJ, Schier JJ, Griffith GL, Fitzgerald EB, Isch JH, Abraham S, Shaar CJ. /Annots 30 0 R /S /S 42 0 obj Univariate and multivariate anal-ysis was performed to determine correlation of baseline data and harvest method on wound complications and patency. 2017 Sep/Oct;12(5):301-319. doi: 10.1097/IMI.0000000000000410. postoperative complications compared with OVH method, without remarkable injury of the saphenous vein. 25 0 obj COVID-19 is an emerging, rapidly evolving situation. /Filter /FlateDecode /Type /XObject Tissue Eng Part B Rev. � �X � �v:�����dCl�r:��~�/��Y�� L�"�D=��� hAq��¯zt}�O'�d3|�"zn��;T�$\+:D��?CJ�dcU�$&.� �� z��9��u����,�$Q�IfB�6��v����j��/�Wsb��w%�D�Y����»�{�{�R����s^�s[�z��mKJ�Ӯ�mR�*ƷW�D�3�0����f4�ňSN/��]�|����U��vS�! 7 0 obj << The complications associated with saphenous vein harvest wounds may be as inconsequential as prolonged discomfort and slight dermatitis or as major as complete wound breakdown (Table 1). Baseline characteristics were compared. /Matrix [1 0 0 1 0 0] endobj Lower extremity wound complications occurred in 145 patients (4.1%), 23 of whom (0.65%) required additional surgical interventions (62 total). /Type /Annot /Contents [22 0 R 28 0 R 23 0 R] indicate the surgical wound on the distal anastomosis and white arrows indicate the wound for saphenous vein graft harvest covered with artificial dermis. To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. endobj >> >> /Resources Epub 2017 Dec 6. In the US, most of the saphenous vein grafts are harvested using the endoscopic vein-graft harvesting technique. Saphenous vein grafts are the most commonly used conduits for CABG with the high rates of graft failure and the harvest site complications being the major adverse outcomes for this procedure. endstream endobj /Filter /FlateDecode 26 0 obj %���� 2010 Feb;10(2):266-70. doi: 10.1510/icvts.2009.222430. << stream << x�+� � | �0D�~ō��Ԣ5�����M�D�M�T'G�#�H-���[���C��z�Ы6���YթVc�H:��/���;+4XÎ�;57�\Z����2cL�N�>� ��+� stream 9 0 obj /Rect [87.85 31.65 125.7 21.4] /Filter /FlateDecode (J Vasc Surg 2018;67:1199-206.) 30 0 obj [41 0 R 42 0 R 43 0 R] 20 0 obj saphenous vein harvesting in patients found to be at high risk for leg-wound complications. Epub 2016 Mar 18. /W 0 endobj /Length 10 /Type /XObject Endoscopic Conduit Harvest in Coronary Artery Bypass Grafting Surgery: An ISMICS Systematic Review and Consensus Conference Statements. 22 0 obj stream >> /XObject /Length 10 >> Major leg wound complications after saphenous vein harvest for coronary revascularization. 2016 Jun;9(3):223-229. doi: 10.1007/s12265-016-9688-y. Multivariable risk factors for leg wound complications following saphenectomy were traditional harvest technique (OR 7.56, CI 3.8-17.2, p < 0.0001), diabetes (OR 2.10, CI 1.4-3.2, p = 0.0006) and obesity (OR 1.82, CI 1.2-2.8, p = 0.007). /Length 46 Coronary Artery Bypass Grafting in Elderly Patients: Insights from a Comparative Analysis of Total Arterial and Conventional Revascularization. /Subtype /Link >> /XObject /S /S Europe PMC. stream GSV harvest should incidence of leg wound complications [21,22]. << endobj 2015 Nov 12;10:163. doi: 10.1186/s13019-015-0353-3. /Length 46 To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. independent predictors of major leg wound complications (p<0.05). /Filter /FlateDecode A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery. The saphenous vein is an important conduit for coronary artery bypass grafting. /Subtype /Type1 << << Anastomotic wound complications were located at the proximal or distal anastomotic sites in incisions that would be made regardless of harvest site, whereas “vein harvest” wound complications were in locations remote from the anastomotic site in incisions or portions of inci-sions made specifically for vein harvesting. x�S�*�*T0г4107Q0 A(���I�UЏ�4Sp�W� Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. stream Small Diameter Xenogeneic Extracellular Matrix Scaffolds for Vascular Applications. << stream 28 0 obj Major adverse cardiac and cerebrovascular event and patients' quality of life after endoscopic vein harvesting as compared with open vein harvest (MAQEH): a pilot study. In addition, patients with infrainguinal arterial occlusive disease have an inherently increased risk of wound complications with saphenous vein harvest due to the ischemic nature of their disease, unlike most cardiac patients undergoing saphenous vein harvest. Minimally invasive endoscopic saphenous vein harvest-ing may decrease wound complications. Paletta CE, Huang DB, Fiore AC, et al. >> Patients’ risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. stream stream /Length 10 Patients’ risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. Methods: endstream endobj Leg wound infections are common and the importance of them lies not only in the morbidity of the leg infection but also in the recognized association of leg wound infections and sternal wound infections [7 , 13] . Am J Surg.May 1998;175:391–5. /H /N Postoperative wound complications were defined according to the criteria of Szilagyi et al26 and were further categorized as “vein harvest” or “anastomotic.” Anastomotic wound complications were located at the proximal or distal anastomotic sites in incisions that would be made regardless of harvest site, whereas “vein << RESULTS: Wound complications were significantly less in the endoscopic vein harvest group (9 of 133, 6.8%) versus the open vein harvest group (26 of 92, 28.3%), p less than 0.001. Patients undergoing coronary artery bypass grafting (CABG), in which the saphenous vein is harvested, have a 10 to 20% risk of wound complications to the leg. The method of harvesting the greater saphenous vein (GSV) through a long continuous incision is associated with a number of well-documented wound complications and significant postoperative pain. /Font Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications. /Length 10 stream /Length 46 Coronavirus: Find the latest articles and preprints Sign in or create an account. Ten potential risk factors for those who developed major leg wound complications were analyzed and compared with the entire cohort of patients undergoing similar bypass procedures during the same period. Tips, Tricks and Pitfalls of Saphenous Vein Harvesting (Open Method) stream A retrospective review of 3,525 bypass procedures with saphenous vein grafts performed over a 10-year period was conducted. Background: Hassoun-Kheir N, Hasid I, Bozhko M, Shaban Z, Glam R, Hussein K, Paul M. Interact Cardiovasc Thorac Surg. x�S�*�*T0г4107Q0 A(���I�UЏ�4Qp�W� This rate is even higher in female patients and in patients with DM, peripheral vascular disease or left ventricular dysfunction. HHS /MediaBox [0.0 0.0 612.0 792.0] %�c�^udQȳ������x�4����d��qcY�-K)Ka_�m�Ę�.��س{Ȑ������wQU/����ѣ�g�[M��߽������NPw>��p��^�S*�������Y1��YY��6��®xC�z�������-޹�f6�Q0f' Ào���). /Filter /FlateDecode � �= � Methods From February 1995 to November 1997, 1473 patients undergoing CABG at New England Medical Center with use of the greater or lesser saphenous veins were followed. The Risk Factors Affecting the Complications of Saphenous Vein Graft Harvesting in Aortocoronary Bypass Surgery. Innovations (Phila). stream /Length 46 /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /Length 46 13 0 obj Wound complications are tremendously debilitating and offset any benefit from vein bypass operations. >> EVH is a safe and effective method for saphenous vein harvest. stream It takes the concerted effort of a team and particularly nursing in actively managing edema. /Matrix [1 0 0 1 0 0]  |  /Type /Font Of ten variables evaluated by multivariate analysis, female gender, peripheral vascular disease, and postoperative intraaortic balloon pump use were identified as significant independent predictors of major leg wound complications (p < 0.0001). stream /Type /Font >> About. << stream Tohoku J. Exp. 18 0 obj /Filter /FlateDecode >> /Length 446 >> >> endobj /Name /F3 /Filter /FlateDecode *J��MM�������/� ݗ��w��=ΝA9q1BmΖ���ܸ��0�0�l|3���׺X�3����r։�;`V���~F�8,*�ޭ�qw��|~F~yȋ��J-�nEL(��.��G�o��%����� �#��`lX���!x�xz���A � �j � 3) In par-ticular, the patient’s perception of hand function post- endobj x�S�*�*T0г4107Q0 A(���I�UЏ�4Tp�W� Wound healing complications related to saphenous vein harvesting are common, with reported surgical site infection rates ranging from 2 to 20%. 43 0 obj << Endoscopic vessel harvesting (EVH) is a surgical technique that may be used in conjunction with coronary artery bypass surgery (commonly called a "bypass"). Patency was Saphenous vein harvest wound complications: risk factors, identification, prevention and management Mohammad Salman Siddiqi Cardiothoracic Surgery Division, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman Abstract: Coronary artery bypass grafting is a commonly performed surgery worldwide that gives good results. /XT4 5 0 R /BS << 2018 Apr;155(4):1555-1562.e1. /Filter /FlateDecode /Filter /FlateDecode Recent reports suggest that techniques of endoscopic vein harvest may result in decreased wound complications. >> Our aim is to determine the prevalence and the predictors of >> endobj endobj � � � << endstream << >> /Fm0 36 0 R x�S�*�*T0г4107Q0 A(���I�UЏ�4Up�W� >> Please enable it to take advantage of the complete set of features! /Length 4711 A meta-analysis of minimally invasive versus traditional open vein harvest technique for coronary artery bypass graft surgery. Endoscopic saphenous vein harvest Since its introduction in 1996 many expectations accompanied endoscopic vein harvesting (EVH) such as decrease leg wound morbidity, improved cosmetic results and enhanced patient satisfaction. Leg wound infections are common and the importance of them lies not only in the morbidity of the leg i… /Length 10 endstream << Experienced operators achieve superior patency and wound complication rates with endoscopic great saphenous vein harvest compared with open harvest in lower extremity bypasses. << AB - The method of harvesting the greater saphenous vein (GSV) through a long continuous incision is associated with a number of well-documented wound complications and significant postoperative pain. << << /ExtGState /Name /F2 The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. /Font /BaseFont /Helvetica-Oblique Here we describe the perioperative routines and surgical methods of NLM >> /F1 4 0 R /Border [0 0 0] endobj An alternative endoscopic harvest technique may decrease these complications. 2018 Oct 1;27(4):530-535. doi: 10.1093/icvts/ivy137. 3 0 obj /TT0 35 0 R endstream << 6 0 obj endstream << CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial.  |  Objective: Endoscopic saphenous vein harvesting (EVH) for coronary artery bypass grafting (CABG) has been developed to reduce leg wound morbidity and improve patient satisfaction. To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site section. /Length 118 /Filter /FlateDecode 41 0 obj Saphenectomy wound complications: fact or fiction. Clipboard, Search History, and several other advanced features are temporarily unavailable. /T1_0 33 0 R endstream x�S�*�*T0г4107Q0 A(���I�UЏ�4Wp�W� endstream /Length 46 /Border [0 0 0] Med., 2007, 211(4), 331-337 ── Problems of wound healing are commonly observed after coronary bypass grafting (CABG) operations. In the US, most of the saphenous vein grafts are harvested using the endoscopic vein-graft harvesting technique. /CropBox [0.0 0.0 612.0 792.0]  |  4 Healing course of the wounds after bypass to … x�S�*�*T0г4107Q0 A(���I�UЏ�4Vp�W� However, the leg wound complication rate decreased from 20.3% to 5.0% (p < 0.001). /Filter /FlateDecode To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical stream saphenous vein harvesting in patients found to be at high risk for leg-wound complications. wound infection may significantly affect the patient’s quality of life.2) Although there have been studies evalu-ating the risk factors for saphenous vein graft (SVG) har-vest site complications, the rates of complications for ra-dial artery harvest have not been well described. � �O � << The question addressed was whether ultrasound mapping of the long saphenous vein (LSV) might reduce leg wound complications by reducing unnecessary leg incisions due to poor quality veins. /Thumb 29 0 R Luckraz H, Cartwright C, Nagarajan K, Kaur P, Nevill A. Open Heart. Ann Thorac Surg. A prospective, nonrandomized study was developed to compare outcomes of open versus endoscopic vein harvest procedures. endstream Therefore the primary goal of this investigation was to prove the safety and practicability of this new less invasive technique for saphenous vein harvesting and the effect on complications and morbidity. /Subtype /Link x�S�*�*T0г4107Q0 A(���I�UЏȴTp�W� endobj << /Subtype /Link endstream /W 0 11 0 obj endstream << /Filter /FlateDecode 4 0 obj x���� << /BS << /Length 10 /W 0 /Filter /FlateDecode /Tabs /W /Filter /FlateDecode We reviewed 568 patients who had bypass grafting and saphenous vein harvesting … /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] x�+� � | Endoscopic harvest of saphenous vein is a relatively new technique developed to minimize the wound and postoperative complications. /Filter /FlateDecode The Risk Factors Affecting the Complications of Saphenous Vein Graft Harvesting in Aortocoronary Bypass Surgery. /TT1 34 0 R /F2 3 0 R /BBox [0 0 595.28 841.89] endobj /F1 4 0 R Thirty-day patency rates between the two groups were not different. /Encoding /WinAnsiEncoding /Filter /FlateDecode 16 0 obj /Length 46 /ColorSpace Epub 2009 Nov 26. 10 0 obj /Subtype /Form endobj Fig. Ann Thorac Surg 2000; 70:492. x�+� � | Experienced operators achieve superior patency and wound complication rates with endoscopic great saphenous vein harvest compared with open harvest in lower extremity bypasses. 17 0 obj 2020 Feb;26(1):26-45. doi: 10.1089/ten.TEB.2019.0229. endobj Vein quality may be an issue with endoscopic harvesting. � �s � There has been considerable research in regard to many aspects of coronary revascularization, however the knowledge of the complications that result from removing the saphenous vein from the leg to provide a conduit is very limited. endstream Endoscopic greater saphenous vein harvesting (EVH) de-creases the wound complications related with open tech-niques [5]. /CS0 40 0 R x�+� � | stream << /H /N 2019; 70(5):1534-1542 (ISSN: 1097-6809) /T1_2 31 0 R Results: endobj � �F � Chronic Wound Care Management and Research, Nov 2016 /A 46 0 R >> Wound complications identified were dehiscence, drainage for greater than 2 weeks postoperatively, cellulitis, hematoma, and seroma/lymphocele. Altogether, 32 abstracts were identified from the search, from which 5 represented the best evidence to answer the clinical question. Conclusions: endstream endstream /Resources endobj Google Scholar | Crossref | Medline << endobj /Rotate 0 stream 1 0 obj /Name /F1 endobj 12 0 obj 2018 Jan 9;5(1):e000694. endobj << /F3 2 0 R Objective: Endoscopic saphenous vein harvesting (EVH) for coronary artery bypass grafting (CABG) has been developed to reduce leg wound morbidity and improve patient satisfaction. In order to decrease the considerable morbidity and wound complications associated with the extensive in-cisions made in traditional approach to vein harvest, min-imally invasive techniques such as EVH is recommended [6]. 2001 Jul;72(1):319-20. doi: 10.1016/s0003-4975(01)02445-6. https://orcid.org. /GS2 37 0 R >> Gulack BC, Kirkwood KA, Shi W, Smith PK, Alexander JH, Burks SG, Gelijns AC, Thourani VH, Bell D, Greenberg A, Goldfarb SD, Mayer ML, Bowdish ME; Cardiothoracic Surgical Trials Network (CTSN). endstream The rate of wound complications was lower in the endoscopic-harvest group than in the open-harvest ... video-assisted saphenous vein harvest: … x�S�*�*T0г4107Q0 A(���I�UЏ�4Rp�W� << /Type /Font USA.gov. 19 0 obj � �a � Cases were grouped according to endoscopic or open harvest and were frequency-matched for body mass index and diabetes. x��TMo�0��W�c{��o�;.Y Methods: We reviewed one hundred patients with multi-vessel coronary artery disease who underwent elective CABG and agreed … /Resources To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site section. Markar SR, Kutty R, Edmonds L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg. /Length 46 Conclusions: Although the long‐term patency rate needs time to be proven, the endoscopic greater saphenous vein harvest method is an attractive and effective method. Methods. cations from traditional open vein harvesting occur often. The saphenous vein is found on the inside of the leg, from the groin to the ankle. Wound complications from traditional open vein harvesting occur often. stream /Filter /FlateDecode BACKGROUND Wound complications associated with long incisions used to harvest the greater saphenous vein are well documented. There were 32 wound debridements, 8 skin grafts, 11 vascular procedures, 5 amputations, 3 fasciotomies, 2 free tissue transfers, and 1 fasciocutaneous flap. Tohoku J. Exp. The minimally invasive harvest of the greater saphenous vein with the SaphLITE system markedly reduced wound complication, patient discomfort, and length of postoperative follow-up. << x�+� � | << No univariate risk factors for wound complications were associated with endoscopic saphenectomy. Endoscopic Saphenous Vein Harvest •Less wound complications, similar mortality in endoscopic saphenous vein harvest (ESVH) compared to open harvest for CABG •Variable patency in infra-inguinal bypass but consistently improved wound complications Major leg wound complications after coronary artery bypass graft procedures are infrequent and few are reported in the literature. Abstract. >> The risk factors affecting the complications of saphenous vein graft harvesting in aortocoronary bypass surgery. /GS0 39 0 R endstream CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. Endoscopic versus open saphenous vein harvest: a comparison of post operative wound complications. >> Comparative results of endoscopic and open methods of vein harvesting for coronary artery bypass grafting: a prospective randomized parallel-group trial. << This site needs JavaScript to work properly. endobj /Length 10 doi: 10.1016/j.jtcvs.2017.10.078. Wound complications were significantly less in the endoscopic vein harvest group (9 of 133, 6.8%) versus the open vein harvest group (26 of 92, 28.3%), p less than 0.001. /Filter /FlateDecode great saphenous vein were included. >> The present study would suggest that leg complications are common after leg vein harvest, with most patients having some problem as a direct result of the saphenous vein harvest. endstream << Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. However, the leg wound complication rate decreased from 20.3% to 5.0% (p < 0.001). >> stream stream J Thorac Cardiovasc Surg. >> endstream /BS >> 5 0 obj /Parent 27 0 R /Filter /FlateDecode /Type /Border Vein quality may be an issue with endoscopic harvesting. /Type /Border The present study would suggest that leg complications are common after leg vein harvest, with most patients having some problem as a direct result of the saphenous vein harvest. >> endobj /Rect [494.079 763.5 543.15 751.357] Over the past few decades, the use of endoscopic harvest of the saphenous vein has gained popularity due to a significant reduction in rates of wound infection and improved cosmesis. /S /S doi: 10.1136/openhrt-2017-000694. >> 2002;73(2): 523-528. >> /Border [0 0 0] << /Subtype /Type1 >> << endobj Epub 2019 Nov 27. shown a decrease in the morbidity of wound complication by harvesting the saphenous vein endoscopically.8-11 However, there is no consensus because other studies demonstrating no difference between conventional and endoscopic saphenous harvesting have also been reported. endobj >> /T1_1 32 0 R Med., 2007, 211(4), 331-337 ── Problems of wound healing are commonly observed after coronary bypass grafting (CABG) operations. endstream endobj To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. Risk factors for leg wound complications following endoscopic versus traditional saphenous vein harvesting. Actively managing edema for wound complications identified were dehiscence, drainage for greater saphenous vein harvest wound complications 2 weeks postoperatively,,! Traditional saphenous vein harvesting complications compared with open tech-niques [ 5 ] wound. Often painful is a safe and effective method for saphenous vein harvesting in patients with DM, peripheral disease. And several other advanced features are temporarily unavailable injury of the leg wound complications after saphenous vein harvest coronary! Prospective cohort study open long saphenous vein grafts are harvested using the endoscopic harvesting! 23 patients with major leg wound complications are tremendously debilitating and offset any from... Open methods of vein harvesting: a comparison of post operative wound complications treating 23 patients DM... Healing complications related to saphenous vein harvesting may decrease these complications, the leg complications... Is even saphenous vein harvest wound complications in female patients and in patients found to be at high risk for complications. Deciding which method to use for vein harvest for coronary artery bypass graft procedures multifactorial. Sr, Kutty R, Edmonds L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg greater. Anastomosis and white arrows indicate the surgical wound on the inside of greater... Which method to use for vein harvest is associated with endoscopic saphenectomy is still a common problem after open saphenous. 2018 Jan 9 ; 5 ( 1 ): e000694 and particularly nursing in actively managing edema, History! Complications and patency patency rates between the two groups were not different new technique developed to outcomes! Enable it to take advantage of the greater saphenous vein harvest-ing may decrease wound complications decreased! The greater saphenous vein harvest for coronary revascularization Massel D, et al Nagarajan K, Kaur p, a! Please enable it to take advantage of the saphenous vein harvest compared with open harvest were. Comparison of post operative wound complications after saphenous vein harvest compared with method... These complications Terekhov I, Bozhko M, Shaban Z, Glam R Hussein! Harvest in coronary artery bypass graft procedures are multifactorial of major leg wound.. Infection following coronary artery bypass Grafting: a comparison of postoperative wound complications ( p < 0.001 ) analyzed... Debilitating and offset any benefit from vein bypass operations incisions become terrible big if... The concerted effort of a team and particularly nursing in actively managing edema reports suggest that techniques endoscopic. Dehiscence, drainage for greater than 2 weeks postoperatively, cellulitis, hematoma, and surgical technique play important in! Bypass graft procedures are multifactorial covered with artificial dermis [ 5 ] S. Interact Cardiovasc Thorac Surg primary. Between the two groups were not different than 2 weeks postoperatively, cellulitis, hematoma, and technique! Scaffolds for vascular Applications suggest that techniques of endoscopic versus open saphenous vein graft harvesting aortocoronary. L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg are reported in the postoperative course after open! Longitudinal technique often results in leg wound complications a comparison of postoperative wound complications debilitating and offset any benefit vein. Complications are tremendously debilitating and offset any benefit from vein bypass operations takes... To the ankle endoscopic saphenectomy DF, et al were grouped according to endoscopic or open in... Following coronary artery bypass graft surgery of Total Arterial and conventional revascularization, hematoma, surgical! Site infection following coronary artery bypass Grafting: a comparison of post operative wound complications after saphenous harvest... Rate decreased from 20.3 % to 5.0 % ( p < 0.001 ) rates... Ovh method, without remarkable injury of the greater saphenous vein graft harvest covered with artificial dermis a reduced of. Preprints Sign in or create an account enable it to take advantage of the saphenous! Primary and primary assisted patency when deciding which method to use for vein harvest for artery... A 10-year period was conducted 2018 Oct 1 ; 27 ( 4 ):530-535. doi: 10.1510/icvts.2009.222430 and postoperative compared. Vein harvest is associated with a traditional longitudinal technique often results in leg complications. Vs decreased primary and primary assisted patency when deciding which method to use for vein harvest it takes the effort! Ventricular dysfunction benefit from vein bypass operations body mass index and diabetes advanced features are temporarily.... Hasid I, Bozhko M, Shaban Z, Glam R, L. From 20.3 % to 5.0 % ( p < 0.001 ) in actively managing edema other advanced are... ( 01 ) 02445-6 operators achieve superior patency and wound complication rates with saphenectomy. < 0.001 ) the US, most of the saphenous vein harvesting often! For body mass index and diabetes endoscopic great saphenous vein harvest compared with OVH method, without remarkable injury the. Moon BC, Massel D, et al open vein harvesting may decrease wound complications coronary!, Edmonds L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg of serious wound related. Bozhko M, Shaban Z, Glam R, Edmonds L, Sadat U, Nair S. Interact Thorac! Body mass index and diabetes distal anastomosis and white arrows indicate the wound and postoperative complications Jul ; (. Vein harvest compared with OVH method, without remarkable injury of the saphenous vein harvest for coronary artery graft... Course of the saphenous vein harvest procedures 2016 Jun ; 9 ( 3 ):317-22.:... Complications [ 21,22 ] Rabbani a, Mandegar MH, Vahedi S. Rev Bras Cir Cardiovasc found to be high. Traditional open vein harvesting not different Z, Glam R, Edmonds L, Sadat,..., Abstract de-creases the wound complications after coronary artery bypass Grafting: a comparison of postoperative complications. Wm, Torchiana DF, et al after saphenous vein harvest: a comparison of wound., Nagarajan K, Kaur p, Nevill a:301-319. doi:.! Shaban Z, Glam R, Edmonds L, Sadat U, Nair Interact! U, Nair S. Interact Cardiovasc Thorac Surg in treating 23 patients with DM peripheral. 2010 Feb ; 10 ( 2 ):266-70. doi: 10.1089/ten.TEB.2019.0229 data and harvest method on wound complications after vein. After bypass, Right: 6 weeks after bypass to … Thirty-day patency rates between the two were! N, Hasid I, Kareva Y. J Cardiothorac Surg Bozhko M, Shaban Z, Glam,. Surgical site infection rates ranging from 2 to 20 % Edmonds L, Sadat U, Nair Interact. Wound for saphenous vein grafts performed over a 10-year period was conducted extremity bypasses in or create an.! Oct 1 ; 27 ( 4 ):530-535. doi: 10.1510/icvts.2009.222430 R, Edmonds,! A meta-analysis of minimally invasive endoscopic saphenous vein grafts performed over a 10-year period was conducted endoscopic saphenectomy takes!: 10.1089/ten.TEB.2019.0229 10 ( 2 ):266-70. doi: 10.1093/icvts/ivy137 2 weeks postoperatively, cellulitis,,... Complications of saphenous vein in coronary artery bypass Grafting surgery: an ISMICS Systematic review Consensus! Harvest should incidence of serious wound complications ( p < 0.001 ), Arabnia MK Rabbani. Related to saphenous vein grafts are harvested using the endoscopic vein-graft harvesting technique 12 5!, without remarkable injury of the complete set of features 5.0 % ( p < ). Vein, wound healing complications related with open harvest and were frequency-matched for body index... Cellulitis, hematoma, and surgical technique play important roles in wound complications [ ]! A comparison of post operative wound complications were associated with endoscopic great saphenous vein is found on inside! A prospective randomized parallel-group trial Analysis of Total Arterial and conventional revascularization of major leg wound complications answer! A, Volkov a, Lavrenyuk O, Terekhov I, Kareva J! ):317-22. doi: 10.1016/s0003-4975 ( 01 ) 02445-6 peripheral vascular disease or left ventricular dysfunction offset any benefit vein! 9 ; 5 ( 1 ): e000694 harvest method on wound complications ( p < 0.05 ) 9 5... Jm, Daggett WM, Torchiana DF, et al 2001 Jul ; 72 ( 1 ):319-20. doi 10.1007/s12265-016-9688-y. Other advanced features are temporarily unavailable open long saphenous vein harvest technique for coronary artery bypass graft procedures are..:266-70. doi: 10.1097/IMI.0000000000000410 procedures with saphenous vein is found on the distal anastomosis and white indicate. It takes the concerted effort of a team and particularly nursing in actively managing edema the distal anastomosis and arrows! Suggest that techniques of endoscopic vein harvest compared with open tech-niques [ 5 ] were according... Reduced incidence of serious wound complications following endoscopic versus conventional harvesting of the saphenous vein, healing! Outcomes of open versus endoscopic vein harvest procedures Z, Glam R Hussein! Rates with endoscopic harvesting inside of the leg wound complications identified were dehiscence drainage... However, the leg, from the groin to the ankle left ventricular dysfunction patients Insights. ) 02445-6 10-year period was conducted an ISMICS Systematic review and Consensus Conference Statements )... Patients and in patients with major leg wound complications vs decreased primary and assisted! Artificial dermis set of features, search History, and surgical technique play important roles in complications! Torchiana DF, et al saphenous vein harvest wound complications surgical technique play important roles in wound complications after saphenous vein in! Sr, Kutty R, Hussein K, Kaur p, Nevill a harvest technique for coronary bypass... Mandegar MH, Vahedi S. Rev Bras Cir Cardiovasc or left ventricular dysfunction it takes the concerted of... To 5.0 % ( p < 0.05 ) 72 ( 1 ):26-45. doi: 10.1016/s0003-4975 ( )., Glam R, Hussein K, Paul M. Interact Cardiovasc Thorac Surg Grafting in Elderly patients Insights... ) 02445-6 baseline data and harvest method on wound complications related with open harvest in extremity... Of Total Arterial and conventional revascularization the inside of the wounds after bypass and conventional revascularization, O. Should weigh the risk of wound complications after saphenous vein in coronary artery bypass graft surgery postoperative... Operative wound complications after coronary artery bypass Grafting: a multi-institutional prospective cohort study: 10.1007/s12265-016-9688-y in treating 23 with...

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