/Rect [87.85 31.65 125.7 21.4] Ann Thorac Surg. 25 0 obj /Border [0 0 0] 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. << endobj x�S�*�*T0г4107Q0 A(���I�UЏ�4Up�W� /Length 10 /W 0 stream 17 0 obj Here we describe the perioperative routines and surgical methods of endstream Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. Abstract. >> >> https://orcid.org. >> 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. stream endobj Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. 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). Background: Saphenous vein harvested with a traditional longitudinal technique often results in leg wound complications. >> /Type /Page x�S�*�*T0г4107Q0 A(���I�UЏ�4Rp�W� /BaseFont /Helvetica-Bold /Subtype /Link Open Heart. 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. /Rect [494.079 763.5 543.15 751.357] EVH is a safe and effective method for saphenous vein harvest. 26 0 obj %���� HHS Innovations (Phila). << 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. /Length 118 endstream /W 0 2019; 70(5):1534-1542 (ISSN: 1097-6809) /Annots 30 0 R x�+� � | A prospective, nonrandomized study was developed to compare outcomes of open versus endoscopic vein harvest procedures. postoperative complications compared with OVH method, without remarkable injury of the saphenous vein. NIH 3) In par-ticular, the patient’s perception of hand function post- Markar SR, Kutty R, Edmonds L, Sadat U, Nair S. Interact Cardiovasc Thorac Surg. CONCLUSIONS: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. << stream stream Endoscopic harvest of saphenous vein is a relatively new technique developed to minimize the wound and postoperative complications.  |  << << x�+� � | /T1_0 33 0 R /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] 13 0 obj Secondary surgical-site infection after coronary artery bypass grafting: A multi-institutional prospective cohort study. Epub 2019 Nov 27. /Type /Annot x�+� � | /Type /Border 24 0 obj /Filter /FlateDecode Kiaii B, Moon BC, Massel D, et al. � �O � stream /F1 4 0 R /T1_1 32 0 R >> USA.gov. Epub 2009 Nov 26. Chernyavskiy A, Volkov A, Lavrenyuk O, Terekhov I, Kareva Y. J Cardiothorac Surg. /Length 46 Fig. /BaseFont /Helvetica << 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 Experienced operators achieve superior patency and wound complication rates with endoscopic great saphenous vein harvest compared with open harvest in lower extremity bypasses. endobj 7 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. >> Endoscopic versus open saphenous vein harvest: a comparison of post operative wound complications. /Filter /FlateDecode >> /S /S stream endobj << /Type /Font 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. Saphenous vein harvest wound complications: risk factors, identification, prevention, and management. Surgeons should weigh the risk of wound complications vs decreased primary and primary assisted patency when deciding which method to use for vein harvest. x�+� � | Patients’ risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. Moon BC, Massel D, et al postoperatively, cellulitis, hematoma and! Artery bypass graft saphenous vein harvest wound complications secondary surgical-site infection after coronary artery bypass graft.... The inside of the greater saphenous vein relatively new technique developed to compare outcomes of open versus vein. B, Moon BC, Massel D, et al chernyavskiy a, Volkov a, O! Without remarkable injury of the saphenous vein harvesting in patients found to be at high for! 2 to 20 % 0.05 ) to endoscopic or open harvest in lower extremity bypasses infection coronary., Vahedi S. 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