Patient Satisfaction and Clinical Complications after Endoscopic or Surgical Saphenous Vein Harvesting

Filip, Tomáš; Schröther, Filip; Haase, Robert; Rudolph, Nicol; Claus, Thomas H.; Albes, Johannes M.

doi:10.1055/s-0039-1683901

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…While previously reported rates of hematoma occurrence for EVH and OVH are comparable [17][18][19], our comprehensive investigation revealed a statistically significant difference in hematoma incidence between the two methods. In our study, the frequency of hematoma development was higher in the EVH group than in the OVH group.…”

Section: Discussioncontrasting

confidence: 59%

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

Sampath,

Lee,

Cher

et al. 2024

JCM

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Background: The long saphenous vein is routinely used for coronary bypass graft (CABG) surgery, and two primary techniques are commonly utilized: endoscopic vessel harvesting (EVH) and open vessel harvesting (OVH). The aim of this study was to compare the clinical outcomes of the EVH and OVH techniques used for CABG within the confines of a tertiary hospital. Methods: The clinical data of all patients subjected to either EVH or OVH for CABG surgery between 2014 and 2018 were retrospectively analyzed. Statistical analysis was performed to discern variations in the rates of postoperative complications between EVH and OVH. Results: A cohort of 1884 individuals were included in this study, 75.3% of whom underwent EVH. Notably, the incidence of postoperative leg wound complications was significantly different between the patients who underwent OVH and the patients who underwent EVH, with incidence rates of 18.6% and 32%, respectively (p < 0.001). Leg wound complications (p < 0.001; OR 1.946; 95% CI 1.528–2.477) and leg wound infections (p = 0.050, OR 1.517, 95% CI 0.999–2.303) were significantly associated with OVH. Moreover, leg wound hematoma (p = 0.039, OR = 0.402, 95% CI = 0.169–0.957) and EVH were strongly associated. Conclusions: The large sample of patients and the inclusion of a range of Asian ethnic groups provided notable insights into postoperative complications related to different modalities. EVH was associated with a lower incidence of postoperative leg wound complications, which suggests that EVH is a better modality for those undergoing CABG surgery.

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Section: Discussioncontrasting

confidence: 59%

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

Sampath,

Lee,

Cher

et al. 2024

JCM

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“…To reduce the risk of LWI, measures such as antibiotic prophylaxis, proper skin disinfection and maintaining an aseptic environment are applied [7][8][9]. Risk factors associated with LWI include external factors such as the vein harvesting technique [10][11][12], duration of surgery [13], number of vein grafts [14] and choice of sutures [15][16][17]. Patientdependent risk factors for LWI include diabetes mellitus (DM), obesity, peripheral vascular disease, impaired renal function and low left ventricular ejection fraction (LVEF) [13,14,18].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for infection at the saphenous vein harvest site after coronary artery bypass grafting surgery: a retrospective cohort study

Unosson,

Nyman,

Brynhildsen

et al. 2024

J Cardiothorac Surg

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Introduction Surgical site infection after saphenous vein harvest is common, with reported leg wound infection rates ranging from 2 to 24%. There have been few investigations into sex-related differences in complication rates. Moreover, varied effects of smoking have been reported. The aim of this study was to investigate risk factors such as gender and smoking, associated with surgical site infection after vein graft harvesting in coronary artery bypass grafting surgery. Methods We included 2,188 consecutive patients who underwent coronary artery bypass grafting surgery with at least one vein graft at our centre from 2009 to 2018. All patients were followed up postoperatively. Risk factors for leg wound infection requiring antibiotic treatment and surgical revision were analysed using logistic regression analysis. Results In total, 374 patients (17.1%) received antibiotic treatment and 154 (7.0%) underwent surgical revision for leg wound infection at the harvest site. Female sex, high body mass index, diabetes mellitus, longer operation time, peripheral vascular disease and direct oral anticoagulants were independently associated with any leg wound infection at the harvest site. Among surgically revised patients, female sex and insulin or oral treatment for diabetes mellitus as well as longer operation time were independent risk factors. Smoking was not associated with leg wound infection. Conclusion Female sex is associated with increased risk of leg wound infection. The underlying mechanism is unknown. In the current population, previous or current smoking was not associated with an increased risk of leg wound infection.

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Patient Satisfaction and Clinical Complications after Endoscopic or Surgical Saphenous Vein Harvesting

Cited by 2 publications

References 16 publications

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

Risk factors for infection at the saphenous vein harvest site after coronary artery bypass grafting surgery: a retrospective cohort study

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