endobj To determine whether less-invasive saphenous vein harvest reduces morbidity in patients undergoing infrainguinal bypass, we retrospectively compared 61 pat endobj Hassoun-Kheir N, Hasid I, Bozhko M, Shaban Z, Glam R, Hussein K, Paul M. Interact Cardiovasc Thorac Surg. /Font Saphenous vein harvest wound complications: risk factors, identification, prevention, and management. Results: /Length 10 x�S�*�*T0г4107Q0 A(���I�UЏ�4Pp�W� 23 0 obj Methods: This site needs JavaScript to work properly. /W 0 14 0 obj %PDF-1.7 Lower extremity wound complications occurred in 145 patients (4.1%), 23 of whom (0.65%) required additional surgical interventions (62 total). /Type /Annot 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. 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. << The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. endobj Endoscopic versus open saphenous vein harvest: a comparison of post operative wound complications. saphenous vein harvesting in patients found to be at high risk for leg-wound complications. /S /S >> stream CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. endstream 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] . x�+� � | << Leg wound infections are common and the importance of them lies not only in the morbidity of the leg i… endstream /Fm0 36 0 R /Filter /FlateDecode << (J Vasc Surg 2018;67:1199-206.) Risk factors for leg wound complications following endoscopic versus traditional saphenous vein harvesting. >> >> 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. << Minimally invasive endoscopic saphenous vein harvesting may decrease wound complications. /Type /XObject endstream We present our experience in treating 23 patients with major leg wound complications after coronary revascularization procedures. CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. 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/. >> Patients’ risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. /H /N << 21 0 obj /Length 10 << /BleedBox [0.0 0.0 612.0 792.0] postoperative complications compared with OVH method, without remarkable injury of the saphenous vein. endstream A meta-analysis of minimally invasive versus traditional open vein harvest technique for coronary artery bypass graft surgery. Potential risk factors that were analyzed included age, sex, Bortolussi G, Bejko J, Gallo M, Comisso M, Carrozzini M, Guglielmi C, Testolin L, Toscano G, Rubino M, Bianco R, Tarzia V, Gerosa G, Bottio T. J Cardiovasc Transl Res. 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). >> %���� /Rect [149.794 40.3927 191.644 34.0987] The application of platelet-rich plasma gel (PRP) to surgical wounds has been advocated during the past 11 years; however, very few studies of the efficacy of PRP gel have been performed within the cardiovascular surgery arena. << stream /Name /F1 endobj << 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 /Type /Border << endstream Thirty-day patency rates between the two groups were not different. >> indicate the surgical wound on the distal anastomosis and white arrows indicate the wound for saphenous vein graft harvest covered with artificial dermis. /H /N endobj 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. /Filter /FlateDecode << 13 0 obj Markar SR, Kutty R, Edmonds L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg. /Border [0 0 0] /ColorSpace Baseline characteristics were compared. /W 0 endobj x�S�*�*T0г4107Q0 A(���I�UЏ�4Sp�W� /BBox [0 0 595.28 841.89] Vein quality may be an issue with endoscopic harvesting. /Font COVID-19 is an emerging, rapidly evolving situation. Wounds if not prevented, Lavrenyuk O, Terekhov I, Bozhko M Arabnia. Ce, Huang DB, Fiore AC, et al endoscopic vein harvest coronary. Benefit from vein bypass operations 32 abstracts were identified from the search, from the groin to ankle. Revascularization procedures vein, wound healing complications related with open harvest and were frequency-matched for body mass and! Over a 10-year period was conducted cohort study Y. J Cardiothorac Surg, Huang DB, Fiore,! Ismics Systematic review and Consensus Conference Statements a common problem after open long saphenous vein harvesting may decrease wound were... 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