<< >> 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. /S /S /Type /Border /Filter /FlateDecode 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. << 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;�_� To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. � �4 � postoperative complications compared with OVH method, without remarkable injury of the saphenous vein. Vein quality may be an issue with endoscopic harvesting. A meta-analysis of minimally invasive versus traditional open vein harvest technique for coronary artery bypass graft surgery. 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. 25 0 obj endobj x�+� � | x�S�*�*T0г4107Q0 A(���I�UЏ�4Sp�W� << endobj stream stream /Encoding /WinAnsiEncoding >> be avoided for Doppler ankle pressures less than 50 mm Most recently, Allen et al. /Parent 27 0 R << Major leg wound complications after coronary artery bypass graft procedures are infrequent and few are reported in the literature. endobj No univariate risk factors for wound complications were associated with endoscopic saphenectomy. /CS0 40 0 R /FormType 1 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. � �| � 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. /Type /Font stream >> /A 46 0 R >> saphenous vein harvesting in patients found to be at high risk for leg-wound complications. /Rect [149.794 40.3927 191.644 34.0987] /T1_2 31 0 R stream 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. /GS0 39 0 R /Matrix [1 0 0 1 0 0] Small Diameter Xenogeneic Extracellular Matrix Scaffolds for Vascular Applications. /Subtype /Type1 /Resources << Patency was Altogether, 32 abstracts were identified from the search, from which 5 represented the best evidence to answer the clinical question. 8 0 obj /Filter /FlateDecode Wound complications identified were dehiscence, drainage for greater than 2 weeks postoperatively, cellulitis, hematoma, and seroma/lymphocele. 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. x�+� � | Abstract Objective: Conventional open saphenous vein harvest (OVH) for coronary artery bypass graft surgery is often associated with significant pain and morbidity. /T1_0 33 0 R /TrimBox [0.0 0.0 612.0 792.0] 3) In par-ticular, the patient’s perception of hand function post- endstream endobj >> endobj /Filter /FlateDecode Coronary atherosclerosis is most prevalent among males, diabetics, smokers, and those with obesity, hyperlipidemia… /T1_1 32 0 R /Length 46 However, the leg wound complication rate decreased from 20.3% to 5.0% (p < 0.001). To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site section. The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. << >> /W 0 Tips, Tricks and Pitfalls of Saphenous Vein Harvesting (Open Method) /Subtype /Type1 � �s � Paletta CE, Huang DB, Fiore AC, et al. To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical technique, and careful harvest site selection. Experienced operators achieve superior patency and wound complication rates with endoscopic great saphenous vein harvest compared with open harvest in lower extremity bypasses. An alternative endoscopic harvest technique may decrease these complications. >> /F1 4 0 R >> Horvath KD, et al. >> << EVH is a safe and effective method for saphenous vein harvest. *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 Potential risk factors that were analyzed included age, sex, /Border [0 0 0] >> x�+� � | 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. stream To determine whether less-invasive saphenous vein harvest reduces morbidity in patients undergoing infrainguinal bypass, we retrospectively compared 61 pat << Minimally invasive endoscopic saphenous vein harvesting may decrease wound complications. A prospective, nonrandomized study was developed to compare outcomes of open versus endoscopic vein harvest procedures. /Filter /FlateDecode >> 2018 Oct 1;27(4):530-535. doi: 10.1093/icvts/ivy137. << endstream /Rotate 0 >> Am J Surg.May 1998;175:391–5. /Subtype /Link 18 0 obj Surgeons should weigh the risk of wound complications vs decreased primary and primary assisted patency when deciding which method to use for vein harvest. >> << >> Patients’ risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. /XObject /Type /Annot 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. << Minimally invasive endoscopic saphenous vein harvest-ing may decrease wound complications. Markar SR, Kutty R, Edmonds L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg. /BBox [0.000000 0.000000 595.276000 841.890000] Luckraz H, Cartwright C, Nagarajan K, Kaur P, Nevill A. endobj Methods: endobj 16 0 obj << 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). << 12 0 obj Wound infection is still a common problem after open long saphenous vein harvesting. stream x�S�*�*T0г4107Q0 A(���I�UЏ�4Pp�W� endobj /Length 46 << stream Tohoku J. Exp. >> 2017 Sep/Oct;12(5):301-319. doi: 10.1097/IMI.0000000000000410. A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery. << GSV harvest should incidence of leg wound complications [21,22]. doi: 10.1016/j.jtcvs.2017.10.078. /Length 46 x�S�*�*T0г4107Q0 A(���I�UЏ�4Tp�W� /Filter /FlateDecode Risk factors for leg wound complications following endoscopic versus traditional saphenous vein harvesting. Epub 2017 Dec 6. << 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. 2019; 70(5):1534-1542 (ISSN: 1097-6809) /S /S Ann Thorac Surg. However, the leg wound complication rate decreased from 20.3% to 5.0% (p < 0.001). /Length 446 << Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications. /Filter /FlateDecode /BBox [0 0 595.28 841.89] /Length 46  |  >> About. Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. Europe PMC. Vein quality may be an issue with endoscopic harvesting. << CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. /Resources /ExtGState 20 0 obj /H /N /Subtype /Link x�+� � | � �X � /TT1 34 0 R Ferdinand FD, MacDonald JK, Balkhy HH, Bisleri G, Hwang HY, Northrup P, Trimlett RHJ, Wei L, Kiaii BB. >> 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 /MediaBox [0.0 0.0 612.0 792.0] /Length 118 endstream >> /Tabs /W endstream 17 0 obj 2008 Jul-Sep;23(3):317-22. doi: 10.1590/s0102-76382008000300006. indicate the surgical wound on the distal anastomosis and white arrows indicate the wound for saphenous vein graft harvest covered with artificial dermis. /XT4 5 0 R >> Major leg wound complications after saphenous vein harvest for coronary revascularization. /F1 4 0 R Ann Thorac Surg 2000; 70:492. Endoscopic Conduit Harvest in Coronary Artery Bypass Grafting Surgery: An ISMICS Systematic Review and Consensus Conference Statements. �0D�~ō��Ԣ5�����M�D�M�T'G�#�H-���[���C��z�Ы6���YթVc�H:��/���;+4XÎ�;57�\Z����2cL�N�>� ��+� The rate of wound complications was lower in the endoscopic-harvest group than in the open-harvest ... video-assisted saphenous vein harvest: … A retrospective review of 3,525 bypass procedures with saphenous vein grafts performed over a 10-year period was conducted. /Type /Annot endobj Endoscopie saphenous vein harvest is associated with a reduced incidence of serious wound complications and, in selected patients, shortened postoperative hospital stay. (J Vasc Surg 2018;67:1199-206.) Objective: Endoscopic saphenous vein harvesting (EVH) for coronary artery bypass grafting (CABG) has been developed to reduce leg wound morbidity and improve patient satisfaction. The risk factors affecting the complications of saphenous vein graft harvesting in aortocoronary bypass surgery. x�+� � | These long incisions become terrible big wounds if not prevented. stream << >> /Subtype /Link COVID-19 is an emerging, rapidly evolving situation. << >> /Length 46 /Subtype /Form endobj /Thumb 29 0 R NIH >> Endoscopic versus open saphenous vein harvest: a comparison of post operative wound complications. /GS1 38 0 R Menu. endobj /BaseFont /Helvetica /Length 10 23 0 obj Chronic Wound Care Management and Research, Nov 2016 Lower extremity wound complications occurred in 145 patients (4.1%), 23 of whom (0.65%) required additional surgical interventions (62 total). x�+� � | � �a � Allen KB, Heimansohn DA, Robison RJ, Schier JJ, Griffith GL, Fitzgerald EB, Isch JH, Abraham S, Shaar CJ. /W 0 endstream endstream /W 0 endobj endstream stream The Risk Factors Affecting the Complications of Saphenous Vein Graft Harvesting in Aortocoronary Bypass Surgery. 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