Abstract
Leg wound complications following saphenous vein harvest for coronary revascularization are uncommon. We have encountered five patients in whom unrecognized arterial occlusive disease contributed to wound necrosis. All required vascular reconstruction in addition to local wound care to achieve healing. Careful preoperative attention to symptoms of arterial insufficiency is recommended and appropriate modification of lower extremity incisions may reduce the frequency of this complication. Prompt recognition and appropriate arterial revascularization should avoid prolonged morbidity if ischemic necrosis of leg wounds does occur. If arterial reconstruction is required, PTFE is an acceptable graft material if the remaining saphenous vein is inadequate for use.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 119-123 |
| Number of pages | 5 |
| Journal | Angiology |
| Volume | 37 |
| Issue number | 2 |
| State | Published - 1986 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Prevention and management of ischemic complications of vein harvest incisions in cardiac surgery. Case reports. / Scher, Larry A.; Samson, R. H.; Ketosugbo, A.; Gupta, S. K.; Ascer, E.; Veith, F. J.
In: Angiology, Vol. 37, No. 2, 1986, p. 119-123.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prevention and management of ischemic complications of vein harvest incisions in cardiac surgery. Case reports
AU - Scher, Larry A.
AU - Samson, R. H.
AU - Ketosugbo, A.
AU - Gupta, S. K.
AU - Ascer, E.
AU - Veith, F. J.
PY - 1986
Y1 - 1986
N2 - Leg wound complications following saphenous vein harvest for coronary revascularization are uncommon. We have encountered five patients in whom unrecognized arterial occlusive disease contributed to wound necrosis. All required vascular reconstruction in addition to local wound care to achieve healing. Careful preoperative attention to symptoms of arterial insufficiency is recommended and appropriate modification of lower extremity incisions may reduce the frequency of this complication. Prompt recognition and appropriate arterial revascularization should avoid prolonged morbidity if ischemic necrosis of leg wounds does occur. If arterial reconstruction is required, PTFE is an acceptable graft material if the remaining saphenous vein is inadequate for use.
AB - Leg wound complications following saphenous vein harvest for coronary revascularization are uncommon. We have encountered five patients in whom unrecognized arterial occlusive disease contributed to wound necrosis. All required vascular reconstruction in addition to local wound care to achieve healing. Careful preoperative attention to symptoms of arterial insufficiency is recommended and appropriate modification of lower extremity incisions may reduce the frequency of this complication. Prompt recognition and appropriate arterial revascularization should avoid prolonged morbidity if ischemic necrosis of leg wounds does occur. If arterial reconstruction is required, PTFE is an acceptable graft material if the remaining saphenous vein is inadequate for use.
UR - http://www.scopus.com/inward/record.url?scp=0022474685&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0022474685&partnerID=8YFLogxK
M3 - Article
VL - 37
SP - 119
EP - 123
JO - Angiology
JF - Angiology
SN - 0003-3197
IS - 2
ER -