Despite increased use of arterial grafts, the greater saphenous vein GSV still remains the most frequently employed conduit in coronary revascularization since its introduction in Who needs to register? All variables were entered in multivariate stepwise regression analysis to identify significant independent predictors of major leg wound complications. Not a member yet? Multivariate analysis suggests female gender, use of ITA, diabetes mellitus, postoperative use of IABP, preexisting PVD and hyperlipidemia as strong independent predictors of major leg wound complications. This allows to link your profile to this item. Full text for ScienceDirect subscribers only As the access to this document is restricted, you may want to search for a different version of it.
Mamnoee Iranian Series – Season 2- part 6. Coronary heart disease and angina pectoris. No amputation was required. Download full text from publisher File URL: Vascular complications from intraaortic balloons: A fifteen-year wound surveillance study after coronary artery bypass. We concluded that leg wound complications were more likely to occur in women. One hypothesis is that female patients tend to have smaller peripheral arteries than males and overall have a higher morbidity and mortality after myocardial revascularization.
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Minimal dissection, manddgar homeostasis, careful approximation of subcutaneous tissue and skin, and prompt drainage of hematomas are key principles in reducing leg wound complications. Tohoku J Exp Med. How to cite this article.
Furthermore, they manvegar arteriography and vascular bypass for existing necrotic leg wounds with ankle pressure less than 50 mm Hg, as this may be incompatible with wound healing. Lower extremity lymphocele development after saphenous vein harvesting. Khake Garm Persian Series – Part Coronary heart disease and angina pectoris.
Recurrent cellulitis after saphenous mandegad for coronary bypass surgery. The complexity of management of these complications parallels their severity and ranges from simple debridement to free tissue transfer using micro vascular techniques.
Although a considerable amount has been written concerning sternal wound infections after CABG, little information has appeared in the literature regarding lower extremity morbidity.
Our incidence of leg wound complications 1. It affects more than 13 million Americans today and mqndegar resulted in more thancoronary artery bypass graft CABG operations, performed in the United States, in . No amputation was required.
Mandegar – Unutulmaz Series:. A new strategy for hydrogen production from the hydrolysis of dimethylamine-borane and sodium borohydride ,” EnergyElsevier, vol.
Clinical predictors of major infections after cardiac surgery. A value of P less than 0. In contrast, 19 of the 68 patient Limb ischemia developed in two of these patients as a consequence of arterial thrombosis Table 2. If your business is not listed in our website, you can click on the link below to add your business for FREE. Clearly preoperative vascular evaluations are not indicated in all patients. The risk factors affecting the complications of saphenous vein graft harvesting in aortocoronary bypass surgery.
Among them, we could find only seven patients with documented lower extremity vascular evaluations before their operations ABI ranged from 0.
Help us Corrections Found an error or omission? Secondly, since the majority of female patients undergoing CABG procedures were postmenopausal, it is possible that decreased estrogen level may also impair leg wound healing in addition to its deleterious effect on cardiovascular disease. J Am Coll Cardiol. The remaining 43 patients Member Login Email Password Please log in to manage your business profile. Vascular complications from intraaortic balloons: These complications and surgical procedures are shown in Table 2.
This predisposes patients with diabetes mellitus to wound healing impairment at the GSV harvest site. Artigo recebido em 15 de dezembro de Artigo aprovado em 7 ,andegar julho de Major leg wound complication was defined as a leg wound that had failed to respond to conservative treatment and required subsequent surgical intervention.
However, if a patient demonstrates evidence of significant PVD on physical examination, a vascular workup of the lower extremity before harvesting GSV is advised. Abbaszadeh Ghanavati Monireh Tel: One hypothesis is that female patients tend to have smaller peripheral arteries than males and overall have a higher morbidity and mortality after myocardial revascularization.
Statistically significant variables were entered into a multivariate stepwise regression analysis model which identified female gender, BMI, diabetes, use of internal thoracic artery graft, PVD, IABP use and preexisting hyperlipidemia were identified as significant independent predictors of major leg wound complications Table 4. Vascular complications of the intra-aortic balloon pump.