Document Detail

Pre-operative long saphenous vein mapping predicts vein anatomy and quality leading to improved post-operative leg morbidity.
MedLine Citation:
PMID:  18203766     Owner:  NLM     Status:  MEDLINE    
Long saphenous vein harvesting for coronary bypass surgery is associated with significant morbidity. Furthermore, vein quality is often variable sometimes requiring incisions in both legs. This prospective randomised control study assessed the usefulness of pre-operative long saphenous vein mapping in terms of conduit quality and location, incision lengths and post-operative morbidity. The long saphenous vein was assessed and mapped pre-operatively (n=31) by venous Doppler ultrasound or not (n=30). The size and anatomical distribution of the long saphenous vein was well predicted by the ultrasound study (correlation coefficient=0.87). Intra-operatively, the mean length of leg wound incision per vein graft performed was significantly less in the mapped group [16.8 (4.0) vs. 24.1 (10.4) cm, P=0.005]. This translated in a shorter operative time for vein harvesting per length of vein graft needed [36 (13) vs. 47 (17) min, P=0.04]. Post-operatively there was a tendency to less leg wound complications in the mapped group (P=0.08) and earlier hospital discharge (median length of stay 6.5 days vs. 8.0 days, P=0.05). Thus, long saphenous vein mapping pre-operatively predicted the size and anatomy of the vein appropriately. This led to a selective leg wound incision and reduced operative time with the benefit of reduced leg complication post-operatively.
Heyman Luckraz; Julie Lowe; Neil Pugh; Ahmed A Azzu
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2008-01-18
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-02     Completed Date:  2008-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  188-91; discussion 191     Citation Subset:  IM    
Cardiothoracic Unit, Block C5, University Hospital of Wales, Cardiff, CF14 4XW, UK.
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MeSH Terms
Coronary Artery Bypass*
Length of Stay
Middle Aged
Pain Measurement
Pain, Postoperative / etiology
Preoperative Care*
Prospective Studies
Saphenous Vein / transplantation,  ultrasonography*
Surgical Wound Infection / etiology
Tissue and Organ Harvesting / adverse effects*
Treatment Outcome
Ultrasonography, Doppler*
Wound Healing
Comment In:
Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):191   [PMID:  18381363 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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