Prevention and management of ischemic complications of vein harvest incisions in cardiac surgery. Case reports

Larry A. Scher, R. H. Samson, A. Ketosugbo, S. K. Gupta, E. Ascer, F. J. Veith

Research output: Contribution to journalArticle

23 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)119-123
Number of pages5
JournalAngiology
Volume37
Issue number2
StatePublished - 1986

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Thoracic Surgery
Veins
Saphenous Vein
Wounds and Injuries
Leg
Necrosis
Arterial Occlusive Diseases
Polytetrafluoroethylene
Blood Vessels
Lower Extremity
Morbidity
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Scher, L. A., Samson, R. H., Ketosugbo, A., Gupta, S. K., Ascer, E., & Veith, F. J. (1986). Prevention and management of ischemic complications of vein harvest incisions in cardiac surgery. Case reports. Angiology, 37(2), 119-123.

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 journalArticle

Scher, LA, Samson, RH, Ketosugbo, A, Gupta, SK, Ascer, E & Veith, FJ 1986, 'Prevention and management of ischemic complications of vein harvest incisions in cardiac surgery. Case reports', Angiology, vol. 37, no. 2, pp. 119-123.
Scher, Larry A. ; Samson, R. H. ; Ketosugbo, A. ; Gupta, S. K. ; Ascer, E. ; Veith, F. J. / Prevention and management of ischemic complications of vein harvest incisions in cardiac surgery. Case reports. In: Angiology. 1986 ; Vol. 37, No. 2. pp. 119-123.
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