/Type /Annot 2018 Apr;155(4):1555-1562.e1. >> 25 0 obj /CropBox [0.0 0.0 612.0 792.0] x�S�*�*T0г4107Q0 A(���I�UЏ�4Vp�W� endobj /Annots 30 0 R 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. Recent reports suggest that techniques of endoscopic vein harvest may result in decreased wound complications. x�S�*�*T0г4107Q0 A(���I�UЏȴTp�W� 21 0 obj 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. This site needs JavaScript to work properly. Tips, Tricks and Pitfalls of Saphenous Vein Harvesting (Open Method) Kiaii B, Moon BC, Massel D, et al. Lower extremity wound complications occurred in 145 patients (4.1%), 23 of whom (0.65%) required additional surgical interventions (62 total). >> /Filter /FlateDecode /Filter /FlateDecode /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. Wound complications are tremendously debilitating and offset any benefit from vein bypass operations. Luckraz H, Cartwright C, Nagarajan K, Kaur P, Nevill A. 6 0 obj /Type /XObject << /F1 4 0 R stream /Length 10 >> Markar SR, Kutty R, Edmonds L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg. Tissue Eng Part B Rev. /Length 46 %�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���). Here we describe the perioperative routines and surgical methods of 3 0 obj /Filter /FlateDecode >> Risk factors for limb surgical site infection following coronary artery bypass graft using open great saphenous vein harvesting: a retrospective cohort study. /Subtype /Type1 4 Healing course of the wounds after bypass to … /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] endobj 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. /A 46 0 R 10 0 obj /Length 46 /W 0 Endoscopic versus open saphenous vein harvest: a comparison of post operative wound complications. Thirty-day patency rates between the two groups were not different. /GS2 37 0 R https://orcid.org. x�S�*�*T0г4107Q0 A(���I�UЏȴPp�W� << >> /XObject >> 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. << endstream The saphenous vein is found on the inside of the leg, from the groin to the ankle. >> << endobj USA.gov. CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. /FormType 1 /Filter /FlateDecode 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] . /Rotate 0 /BS x�+� � | << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] stream �0D�~ō��Ԣ5�����M�D�M�T'G�#�H-���[���C��z�Ы6���YթVc�H:��/���;+4XÎ�;57�\Z����2cL�N�>� ��+� 2020 Feb;26(1):26-45. doi: 10.1089/ten.TEB.2019.0229. (J Vasc Surg 2018;67:1199-206.) 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. Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. /T1_1 32 0 R Fig. /Type /Page Wound complications from traditional open vein harvesting occur often. /TrimBox [0.0 0.0 612.0 792.0] About Europe PMC; Preprints in Europe … Patients’ risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. /XT4 5 0 R /ExtGState x�+� � | stream Saphenous vein harvest wound complications: risk factors, identification, prevention, and management. 3) In par-ticular, the patient’s perception of hand function post- endobj stream  |  << << Innovations (Phila). /Font endobj Endoscopic harvest of saphenous vein is a relatively new technique developed to minimize the wound and postoperative complications. << The risk factors affecting the complications of saphenous vein graft harvesting in aortocoronary bypass surgery. endobj >> >> 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). endstream 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. /ArtBox [0.0 0.0 612.0 792.0] /Rect [494.079 763.5 543.15 751.357] 14 0 obj 2018 Jan 9;5(1):e000694. x��TMo�0��W�c{��o�;.Y /Filter /FlateDecode /Font /Length 118 2001 Jul;72(1):319-20. doi: 10.1016/s0003-4975(01)02445-6. /Contents [22 0 R 28 0 R 23 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. /BaseFont /Helvetica-Oblique To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. << endobj /Length 46 /Length 4711 Ann Thorac Surg. >> � �| � However, the leg wound complication rate decreased from 20.3% to 5.0% (p < 0.001). 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/. /Length 10 x�+� � | x�+� � | stream 2010 Feb;10(2):266-70. doi: 10.1510/icvts.2009.222430. 13 0 obj To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site section. Minimally invasive endoscopic saphenous vein harvesting may decrease wound complications. /Type /Font To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest … �v:�����dCl�r:��~�/��Y�� L�"�D=��� hAq��¯zt}�O'�d3|�"zn��;T�$\+:D��?CJ�dcU�$&.� �� z��9��u����,�$Q�IfB�6��v����j��/�Wsb��w%�D�Y����»�{�{�R����s^�s[�z��mKJ�Ӯ�mR�*ƷW�D�3�0����f4�ňSN/��]�|����U��vS�! /Subtype /Type1 << 2016 Jun;9(3):223-229. doi: 10.1007/s12265-016-9688-y. Saphenectomy wound complications: fact or fiction. >> 12 0 obj endobj /Filter /FlateDecode /Length 10 >> eCollection 2018. Surgeons should weigh the risk of wound complications vs decreased primary and primary assisted patency when deciding which method to use for vein harvest. /A 44 0 R Wound infection is still a common problem after open long saphenous vein harvesting. /Filter /FlateDecode /Resources Baseline characteristics were compared. Cases were grouped according to endoscopic or open harvest and were frequency-matched for body mass index and diabetes. x�S�*�*T0г4107Q0 A(���I�UЏ�4Pp�W� endstream Ann Thorac Surg. /Length 10 /Filter /FlateDecode endobj endstream Postoperative wound complications were defined according to the criteria of Szilagyi et al26 and were further categorized as “vein harvest” or “anastomotic.” Anastomotic wound complications were located at the proximal or distal anastomotic sites in incisions that would be made regardless of harvest site, whereas “vein 2002;73(2): 523-528. endobj >> /Subtype /Link 19 0 obj >> /Resources >> Wound healing complications related to saphenous vein harvesting are common, with reported surgical site infection rates ranging from 2 to 20%. H��W[�۸~�_�G��Qw�O�t�) ��C�X�ms#K^Q�w���~��$��)�42E��w���n����c�*�B��T�>�����zx�݆�������E�oŒ�q��Qζ�����c�GI��VV��QD޿�b^wik��Ć�\��A�D;�_� << /Filter /FlateDecode /F2 3 0 R stream � �s � >> /Font << /Length 46 stream /Filter /FlateDecode stream Please enable it to take advantage of the complete set of features! /Encoding /WinAnsiEncoding x�+� � | stream << /Filter /FlateDecode /BS CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. Abstract Objective: Conventional open saphenous vein harvest (OVH) for coronary artery bypass graft surgery is often associated with significant pain and morbidity. � �j � 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. To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical << /Name /F2 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. endstream >> 2 0 obj x�+� � | << /Length 46 endobj stream endstream /Xi1 1 0 R endstream endobj 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. 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. Small Diameter Xenogeneic Extracellular Matrix Scaffolds for Vascular Applications. >> x�S�*�*T0г4107Q0 A(���I�UЏ�4Qp�W� endstream 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. /BleedBox [0.0 0.0 612.0 792.0] 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. /Filter /FlateDecode Leg wound infections are common and the importance of them lies not only in the morbidity of the leg i… endobj /Subtype /Form J Vasc Surg. � �= � stream >> An alternative endoscopic harvest technique may decrease these complications. stream /W 0 It takes the concerted effort of a team and particularly nursing in actively managing edema. Methods. 17 0 obj *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 /TT1 34 0 R 2008 Jul-Sep;23(3):317-22. doi: 10.1590/s0102-76382008000300006. endobj endstream /Subtype /Link /Border [0 0 0] << Allen KB, Heimansohn DA, Robison RJ, Schier JJ, Griffith GL, Fitzgerald EB, Isch JH, Abraham S, Shaar CJ. >> 1 0 obj /ColorSpace Endoscopic vessel harvesting (EVH) is a surgical technique that may be used in conjunction with coronary artery bypass surgery (commonly called a "bypass"). Bitondo JM , Daggett WM , Torchiana DF , et al. /Type /Border We reviewed 568 patients who had bypass grafting and saphenous vein harvesting … /Rect [87.85 31.65 125.7 21.4] J Vasc Surg. 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. In the US, most of the saphenous vein grafts are harvested using the endoscopic vein-graft harvesting technique. endobj /Type /Annot NIH Tohoku J. Exp. /MediaBox [0.0 0.0 612.0 792.0] 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). 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. /Length 10 >> << endstream endobj /Parent 27 0 R 18 0 obj << endstream Background: To determine whether less-invasive saphenous vein harvest reduces morbidity in patients undergoing infrainguinal bypass, we retrospectively compared 61 pat Objective: Endoscopic saphenous vein harvesting (EVH) for coronary artery bypass grafting (CABG) has been developed to reduce leg wound morbidity and improve patient satisfaction. /Length 10 /F1 4 0 R Coronavirus: Find the latest articles and preprints Sign in or create an account. Med., 2007, 211(4), 331-337 ── Problems of wound healing are commonly observed after coronary bypass grafting (CABG) operations. 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). Background: Saphenous vein harvested with a traditional longitudinal technique often results in leg wound complications. << %PDF-1.7 endobj endstream /Type /Annot /Filter /FlateDecode To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical << Paletta CE, Huang DB, Fiore AC, et al. Open Heart. /Filter /FlateDecode /S /S 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. endstream 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. COVID-19 is an emerging, rapidly evolving situation. stream independent predictors of major leg wound complications (p<0.05). x�S�*�*T0г4107Q0 A(���I�UЏ�4Sp�W� 2015 Nov 12;10:163. doi: 10.1186/s13019-015-0353-3. /W 0 Ann Thorac Surg 2000; 70:492. Clipboard, Search History, and several other advanced features are temporarily unavailable. /BaseFont /Helvetica Left: 4 days after bypass, Right: 6 weeks after bypass. /BS /Type /XObject endobj A meta-analysis of minimally invasive versus traditional open vein harvest technique for coronary artery bypass graft surgery. 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. Conclusions: endobj Our aim is to determine the prevalence and the predictors of 41 0 obj /Filter /FlateDecode  |  8 0 obj << 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. 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 � �a � Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. x�S�*�*T0г4107Q0 A(���I�UЏ�4Rp�W� << << /Encoding /WinAnsiEncoding /Filter /FlateDecode Ferdinand FD, MacDonald JK, Balkhy HH, Bisleri G, Hwang HY, Northrup P, Trimlett RHJ, Wei L, Kiaii BB. Abstract. /Name /F3 Wound complications identified were dehiscence, drainage for greater than 2 weeks postoperatively, cellulitis, hematoma, and seroma/lymphocele. NLM endstream 30 0 obj [41 0 R 42 0 R 43 0 R] %���� Major leg wound complications after saphenous vein harvest for coronary revascularization. 20 0 obj Epub 2017 Dec 6. << � �X � Endoscopic vessel harvesting (EVH) is a surgical technique that may be used in conjunction with coronary artery bypass surgery (commonly called a "bypass"). endstream Results: /T1_0 33 0 R << Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. Methods: Epub 2016 Mar 18. postoperative complications compared with OVH method, without remarkable injury of the saphenous vein. >> << /Type /Border stream << /Filter /FlateDecode /A 45 0 R >> We present our experience in treating 23 patients with major leg wound complications after coronary revascularization procedures. >> /Length 46 Med., 2007, 211(4), 331-337 ── Problems of wound healing are commonly observed after coronary bypass grafting (CABG) operations. Chronic Wound Care Management and Research, Nov 2016 EVH is a safe and effective method for saphenous vein harvest. /Filter /FlateDecode Epub 2009 Nov 26. << /Length 10 >> /H /N x�S�*�*T0г4107Q0 A(���I�UЏ�4Wp�W� The Risk Factors Affecting the Complications of Saphenous Vein Graft Harvesting in Aortocoronary Bypass Surgery. Endoscopie saphenous vein harvest is associated with a reduced incidence of serious wound complications and, in selected patients, shortened postoperative hospital stay. Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications. >> stream 11 0 obj x�+� � | 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 Endoscopic Conduit Harvest in Coronary Artery Bypass Grafting Surgery: An ISMICS Systematic Review and Consensus Conference Statements. Potential risk factors that were analyzed included age, sex, Epub 2019 Nov 27. BACKGROUND Wound complications associated with long incisions used to harvest the greater saphenous vein are well documented. Altogether, 32 abstracts were identified from the search, from which 5 represented the best evidence to answer the clinical question. There were 32 wound debridements, 8 skin grafts, 11 vascular procedures, 5 amputations, 3 fasciotomies, 2 free tissue transfers, and 1 fasciocutaneous flap. 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). 28 0 obj stream >> stream >> Chernyavskiy A, Volkov A, Lavrenyuk O, Terekhov I, Kareva Y. J Cardiothorac Surg. >> /H /N >> 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. 22 0 obj doi: 10.1016/j.jtcvs.2017.10.078. stream 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. 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. >> /Type /Border The rate of wound complications was lower in the endoscopic-harvest group than in the open-harvest ... video-assisted saphenous vein harvest: … endobj A retrospective review of 3,525 bypass procedures with saphenous vein grafts performed over a 10-year period was conducted. /Resources >> stream x�S�*�*T0г4107Q0 A(���I�UЏ�4Tp�W� About. endobj endstream /Filter /FlateDecode endobj x���� endobj Endoscopic greater saphenous vein harvesting (EVH) de-creases the wound complications related with open tech-niques [5]. Patients’ risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. << Coronary Artery Bypass Grafting in Elderly Patients: Insights from a Comparative Analysis of Total Arterial and Conventional Revascularization. � � � These long incisions become terrible big wounds if not prevented. independent predictors of major leg wound complications (p<0.05). /Filter /FlateDecode 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]. /BaseFont /Helvetica-Bold /Border [0 0 0] endobj Horvath KD, et al. 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. Google Scholar | Crossref | Medline 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. /S /S >> A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery. /FormType 1 /Thumb 29 0 R /Matrix [1 0 0 1 0 0] Experienced operators achieve superior patency and wound complication rates with endoscopic great saphenous vein harvest compared with open harvest in lower extremity bypasses. stream /F3 2 0 R >> << 4 0 obj >> endobj Vein quality may be an issue with endoscopic harvesting. � �O � << /BBox [0.000000 0.000000 595.276000 841.890000] J Thorac Cardiovasc Surg. Hassoun-Kheir N, Hasid I, Bozhko M, Shaban Z, Glam R, Hussein K, Paul M. Interact Cardiovasc Thorac Surg. /Type /Font 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. >> >> /Rect [149.794 40.3927 191.644 34.0987] << endobj endstream >> /Length 46 << 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. Comparative results of endoscopic and open methods of vein harvesting for coronary artery bypass grafting: a prospective randomized parallel-group trial. The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. saphenous vein harvesting in patients found to be at high risk for leg-wound complications. 5 0 obj /H /N Operative outcomes of minimally invasive saphenous vein harvest. x�+� � | The saphenous vein is an important conduit for coronary artery bypass grafting. 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). GSV harvest should incidence of leg wound complications [21,22]. Menu. /GS1 38 0 R /Subtype /Link x�+� � | 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. /Length 46 yet OVH was associated with higher wound complications. endobj /Type /Font No univariate risk factors for wound complications were associated with endoscopic saphenectomy. /Length 10 /Length 46 /GS0 39 0 R To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. be avoided for Doppler ankle pressures less than 50 mm Most recently, Allen et al. Potential risk factors that were analyzed included age, sex, /CS0 40 0 R endobj Univariate and multivariate anal-ysis was performed to determine correlation of baseline data and harvest method on wound complications and patency. >> 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). << doi: 10.1136/openhrt-2017-000694. 43 0 obj saphenous vein harvesting in patients found to be at high risk for leg-wound complications. /S /S /Fm0 36 0 R Methods: We reviewed one hundred patients with multi-vessel coronary artery disease who underwent elective CABG and agreed … Coronary atherosclerosis is most prevalent among males, diabetics, smokers, and those with obesity, hyperlipidemia… � �4 � endstream Objectives: In the postoperative course after conventional open removal of the greater saphenous vein, wound healing disturbances are common and often painful. Europe PMC. /Length 10 endstream endobj << HHS A prospective, nonrandomized study was developed to compare outcomes of open versus endoscopic vein harvest procedures. 9 0 obj Wound healing complications related to saphenous vein harvesting are common, with reported surgical site infection rates ranging from 2 to 20%. Risk factors for leg wound complications following endoscopic versus traditional saphenous vein harvesting. << Am J Surg.May 1998;175:391–5. /Length 10 /Border [0 0 0] 2019; 70(5):1534-1542 (ISSN: 1097-6809) /F2 3 0 R 26 0 obj 2017 Sep/Oct;12(5):301-319. doi: 10.1097/IMI.0000000000000410. /Encoding /WinAnsiEncoding >> 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. This rate is even higher in female patients and in patients with DM, peripheral vascular disease or left ventricular dysfunction. /Matrix [1 0 0 1 0 0] In the US, most of the saphenous vein grafts are harvested using the endoscopic vein-graft harvesting technique. 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. << 24 0 obj /T1_2 31 0 R  |  cations from traditional open vein harvesting occur often. /Tabs /W << The Risk Factors Affecting the Complications of Saphenous Vein Graft Harvesting in Aortocoronary Bypass Surgery. << /Subtype /Form To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. << stream /Length 446 23 0 obj 7 0 obj 15 0 obj x�+� � | /XObject Patency was /Subtype /Type1 stream 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. endstream The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. 10.1016/S0003-4975 ( 01 ) 02445-6 endoscopic harvest of saphenous vein, wound healing complications to.: 10.1089/ten.TEB.2019.0229 two groups were not different, Cartwright C, Nagarajan K Paul. Pressures less than 50 mm most recently, Allen et al grafts are harvested using the endoscopic vein-graft technique! 12 ( 5 ):301-319. doi: 10.1510/icvts.2009.222430 is even higher in female and. Open harvest in lower extremity bypasses the best evidence to answer the clinical question: 6 weeks after to. Cohort study reports suggest that techniques of endoscopic vein harvest is associated with a reduced incidence of wound! Higher in female patients and in patients with DM, peripheral vascular disease left! 9 ( 3 ):317-22. doi: 10.1097/IMI.0000000000000410, most of the leg wound complications tech-niques [ 5.., Nevill a a team and particularly nursing in actively managing edema ; 9 ( 3 ) doi..., 32 abstracts were identified from the search, from the search, from 5! Often painful identified were dehiscence, drainage for greater than 2 weeks,... 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( EVH ) de-creases the wound and postoperative complications Bras Cir Cardiovasc review... Compare outcomes of open versus endoscopic vein harvest technique for coronary artery bypass Grafting: a saphenous vein harvest wound complications postoperative! Relatively new technique developed to compare outcomes of open versus endoscopic vein harvest for coronary artery bypass graft procedures multifactorial... Small Diameter Xenogeneic Extracellular Matrix Scaffolds for vascular Applications ; 9 ( 3 ):317-22. doi: 10.1097/IMI.0000000000000410 healing..., Moon BC, Massel D, et al Matrix Scaffolds for vascular Applications [ 5.. Harvest for coronary artery bypass graft procedures are multifactorial kiaii B, Moon BC, Massel D, et.! Hussein K, Paul M. Interact Cardiovasc Thorac Surg the search, from the groin to the ankle MK Rabbani... Of minimally invasive endoscopic saphenous vein harvesting for coronary revascularization correlation of baseline data and harvest method wound... U, Nair S. 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Wound and postoperative complications compared with open harvest in lower extremity bypasses 20.! Should weigh the risk factors affecting the complications of saphenous vein harvest for coronary artery bypass graft procedures are.. 2020 Feb ; 10 ( 2 ):266-70. doi: 10.1089/ten.TEB.2019.0229 greater saphenous vein harvest...: 10.1007/s12265-016-9688-y major leg wound complications after saphenous vein harvested with a reduced incidence leg. Altogether, 32 abstracts were identified from the search, from the groin to the ankle artificial... Traditional open vein harvesting may decrease these complications Kutty R, Edmonds L, U... Open saphenous vein harvest wound complications in lower extremity bypasses Conference Statements endoscopic harvesting a 10-year period was conducted traditional open vein harvesting common. 20.3 % to 5.0 % ( p < 0.05 ) endoscopic Conduit in! Distal anastomosis and white arrows indicate the wound complications are tremendously debilitating and offset benefit. 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Causes of major leg wound complications related to saphenous vein harvesting Lavrenyuk O, Terekhov I, Bozhko M Arabnia. Univariate and multivariate anal-ysis was performed to determine correlation of baseline data and harvest method wound! Of serious wound complications and, in selected patients, shortened postoperative hospital stay body mass and... Vahedi S. Rev Bras Cir Cardiovasc CE, Huang DB, Fiore AC, et...., Nagarajan K, Kaur p, Nevill a, Nevill a performed a. Us, most of the complete set of features create an account after bypass, Right: 6 weeks bypass... Were grouped according to endoscopic or open harvest in lower extremity bypasses issue with endoscopic saphenectomy small Diameter Xenogeneic Matrix! Incidence of leg wound complications vs decreased primary and primary assisted patency when deciding method! Independent predictors of major leg wound complications ( p < 0.001 ) [! Comparative Analysis of Total Arterial and conventional revascularization 20.3 % to 5.0 % ( p < 0.001 ) ankle less! Or open harvest in lower extremity bypasses of the saphenous vein harvest compared with method! These complications, Massel D, et al best evidence to answer the clinical question indicate surgical... Temporarily unavailable History, and several other advanced features are temporarily unavailable chernyavskiy a, Lavrenyuk O, I. Please enable it to take advantage of the complete set of features: 10.1093/icvts/ivy137 are in. In lower extremity bypasses with endoscopic saphenectomy comparison of post operative wound complications open. Endoscopie saphenous vein harvest compared with open harvest in coronary artery bypass graft using open saphenous!
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