saphenous vein graft complications

We present a patient who died during the postoperative period due to this complication. Reported operative interventions have included debridement, fasciotomy, thromboembolectomy with or without bypass, … The use of the saphenous vein patch graft (SVPG) has been suggested to reduce early postoperative thrombosis and cerebral infarct as well as late recurrent stenosis. Alizadeh-Ghavidel A, Ramezannejad P, Mirmesdagh Y, Sadeghpour-Tabaei A. Res Cardiovasc Med. Tissue Eng Part B Rev. Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on Neuroablative Procedures for Patients With Cancer Pain, Ultrashort Echo Time Magnetic Resonance Angiography in Follow-up of Intracranial Aneurysms Treated With Endovascular Coiling: Comparison of Time-of-Flight, Pointwise Encoding Time Reduction With Radial Acquisition, and Contrast-Enhanced Magnetic Resonance Angiography, Predicting the Extent of Resection in Low-Grade Glioma by Using Intratumoral Tractography to Detect Eloquent Fascicles Within the Tumor, Structural and Functional Imaging in Glioma Management, Occipital-Cervical Fusion and Ventral Decompression in the Surgical Management of Chiari-1 Malformation and Syringomyelia: Analysis of Data From the Park-Reeves Syringomyelia Research Consortium, https://doi.org/10.1097/00006123-199610000-00003, Receive exclusive offers and updates from Oxford Academic, Awake Carotid Endarterectomy in Patients with Contralateral Carotid Occlusion: Selective Shunting Without Increased Risk of Complications: ISC 129, Management of Asymptomatic Carotid Atherosclerosis, Carotid Endarterectomy Complicated by Vein Patch Rupture, Advances and Innovations in Vascular Neurosurgery: Foreword: Part I. Ectoines as novel anti-inflammatory and tissue protective lead compounds with special focus on inflammatory bowel disease and lung inflammation. Dr. Baciewicz’ experiences with three cases of saphenousvein-graft hemorrhage over a 14-year period highlights the lethalnature of this rare complication. Interventions used to treat SVG disease are susceptible to high rates of periprocedural MI and no-reflow. In general, percutaneous revascularization of saphenous vein grafts is associated with a higher rate of periprocedural and in-hospital complications than native vessel intervention, even after adjustment for baseline characteristics. Conclusion: This study failed to demonstrate any benefit of homograft saphenous vein over PTFE graft in terms of thrombotic complications and mortality. There were five postoperative vein ruptures (0.17%), four cases of aneurysm formation, and three cases of deep infection necessitating surgical intervention. Saphenous vein harvesting, though a relatively minor part of the coronary artery bypass operation, can cause complications that may dominate the early and late postoperative course. During a 23-year period (1972-1994), 2888 carotid endarterectomies with SVPG for primary carotid stenosis were performed by the Neurosurgical Cerebrovascular Service at the Mayo Clinic. To purchase short term access, please sign in to your Oxford Academic account above. There was however less bleeding and peri-graft seroma formation in the Saphenous vein (SVG) group. Circulation. In an early period 3 patients were excluded because of their … From May 1981 to March 1991, 117 consecutive male patients underwent 126 in situ operations: 45 (36%) femoropopliteal, 75 (59%) femorotibial, and 6 (5%) grafts to the dorsal pedal artery for gangrene or ulcer (n = 69), rest pain (n = 54), or claudication (n = 3). Clipboard, Search History, and several other advanced features are temporarily unavailable. Great saphenous vein is used as a conduit for bypass in over 95% cases.  |  Infection and erosion of the saphenous vein graft with mediastinal hemorrhage is a rare but highly lethal complication of cardiac surgery. The aim of this article is to identify the risk factors for complications of saphenous vein (SV) harvest site and its identification, prevention, and management. Recurrent cellulitis following coronary bypass surgery. There were 2 postoperative complications (severe laryngeal edema in one case and shoulder weakness in another), but both patients recovered fully and measures were taken to minimize la… J Hosp Infect. Aneurysms developing in a saphenous vein graft (SVG) after coronary artery bypass grafting (CABG) are an unusual complication and fistulae forming between an SVG aneurysm and a cardiac chamber are even rarer. saphenous vein bridge fistula as a venous auto-graft, versus prosthetic vascular graft, for creating loop A-V fistula or A-V graft in the thigh (bridge between superficial femoral artery and vein), in patients with chronic renal failure with exhausted upper extremity accesses, for the … However, when the diameter of the vein is too large for the valves within it to coapt completely, the resulting condition, chronic venous insufficiency, can result in … Postoperative wound complications, patient discomfort, and length of follow-up were studied. 1995 May;30(1):78-80. doi: 10.1016/0195-6701(95)90255-4. However, major leg wound … If you originally registered with a username please use that to sign in. Extraperitoneal Bladder Injuries Associated With Pelvic Fracture Requiring Internal Fixation: What Is the Evidence? Manetta F, Yu PJ, Mattia A, Karaptis JC, Hartman AR. Don't already have an Oxford Academic account? Yoshihiro Yamamoto, M.D., David G. Piepgras, M.D., W. Richard Marsh, M.D., Fredric B. Meyer, M.D., Complications Resulting from Saphenous Vein Patch Graft after Carotid Endarterectomy, Neurosurgery, Volume 39, Issue 4, October 1996, Pages 670–677, https://doi.org/10.1097/00006123-199610000-00003. We present a patient who died during the postoperative period due to this complication. Resident Physician in Cardio-Thoracic and Vascular Surgery, Copyright © 2020 Congress of Neurological Surgeons. 2020 Feb;26(1):26-45. doi: 10.1089/ten.TEB.2019.0229. Most users should sign in with their email address. USA.gov. All of the patients with aneurysms underwent surgical correction without consequences. saphenous vein grafts) as if they are identical. Borovoy M, Goldberg MJ, Mack G, Lehman J, Byrne C. Swenne CL, Borowiec J, Carlsson M, Lindholm C. Thorac Cardiovasc Surg. This site needs JavaScript to work properly. Postoperative cellulitis of the foot and lower leg following coronary bypass. Varicose veins are not life-threatening and various treatment options are available. Prevention of edema after coronary artery bypass graft surgery by compression stockings. Don't already have an Oxford Academic account? Saphenous vein grafts (SVGs), used during coronary artery bypass graft surgery for severe coronary artery disease, are prone to degeneration and occlusion, leading to poor long-term patency compared with arterial grafts. We describe three groups of complications that are usually given little attention in the literature: complication of vein harvesting in ischemic legs, recurrent cellulitis in vein donor legs, and saphenous neuropathy. Hong MK, Mehran R, Dangas G, et al. Our aim is to determine the prevalence and the predictors of saphenous vein harvesting complications after coronary artery … You could not be signed in. Prediction of and risk factors for surgical wound infection in the saphenous vein harvesting leg in patients undergoing coronary artery bypass. Two patients recovered without deficits, one suffered major disability, and the other two died. The overall mortality rateof 75% at his institution due to graft hemorrhage is consistent withthe reported literature. The harvesting technique has remained unchanged over the years. Background. They usually present as an expanding asymptomatic mediastinal mass on chest x-ray film or computed tomography scan. Conclusions: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. 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