MAJOR LEG WOUND COMPLICATIONS AFTER SAPHENOUS VEIN HARVEST FOR CORONARY REVASCULARIZATION

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ABBASZADEH GHANAVATI A.; ARABNIA M.K.; RABANI ABAS; MANDEGAR M.H.; POURDEL M.

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Journal: Yafteh Year:2005 | Volume:6 | Issue:4 (23) Page(s): 11-18

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Title

MAJOR LEG WOUND COMPLICATIONS AFTER SAPHENOUS VEIN HARVEST FOR CORONARY REVASCULARIZATION

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MAJOR LEG WOUND COMPLICATIONS AFTER SAPHENOUS VEIN HARVEST FOR CORONARY REVASCULARIZATIONQ4

Abstract

Background: Major leg wound complications after coronary artery bypass graft procedures are infrequent and few are reported in the literature. We present our experience in treating 30 patients with major leg wound complications after coronary revascularization procedures.Materials and Methods: A retrospective review of 2100 bypass procedures with saphenous veingraft performed over a 5-years period was conducted.15 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.Results: lower extremity wound complications occurred in 30 patients (1.4%), 19 of whom required additional surgical interventions. There were 6 wound debridments 2 skin grafts, langioplasty, 7fasciotomies,lembolectomy and fasciotomy 2 free tissue transfer. Of 14 variables evaluated by multivariate analysis, cardiopulmonary bypass time, duration of surgery and postoperative intraaortic ballon pump use were identified as significant independent predictors of major leg wound complications (p<0.05).Conclusion: The causes of major leg wound complications after saphenous vein harvest for coronary artery bypass graft procedures are multifactorial. To minimize these complications, we recommend vascular evaluations before saphenous vein harvest, attention to proper surgical tecnique, and careful harvest site selection.

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APA: Copy

ABBASZADEH GHANAVATI, A., ARABNIA, M.K., RABANI, ABAS, MANDEGAR, M.H., & POURDEL, M.. (2005). MAJOR LEG WOUND COMPLICATIONS AFTER SAPHENOUS VEIN HARVEST FOR CORONARY REVASCULARIZATION. YAFTEH, 6(4 (23)), 11-18. SID. https://sid.ir/paper/80096/en

Vancouver: Copy

ABBASZADEH GHANAVATI A., ARABNIA M.K., RABANI ABAS, MANDEGAR M.H., POURDEL M.. MAJOR LEG WOUND COMPLICATIONS AFTER SAPHENOUS VEIN HARVEST FOR CORONARY REVASCULARIZATION. YAFTEH[Internet]. 2005;6(4 (23)):11-18. Available from: https://sid.ir/paper/80096/en

IEEE: Copy

A. ABBASZADEH GHANAVATI, M.K. ARABNIA, ABAS RABANI, M.H. MANDEGAR, and M. POURDEL, “MAJOR LEG WOUND COMPLICATIONS AFTER SAPHENOUS VEIN HARVEST FOR CORONARY REVASCULARIZATION,” YAFTEH, vol. 6, no. 4 (23), pp. 11–18, 2005, [Online]. Available: https://sid.ir/paper/80096/en

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