Erysipele nach Entnahme von Beinvenen für eine aortokoronare Bypassoperation

Schoppelrey, Hans-Peter; Breit, Reinhard

doi:10.1007/s001050050530

Cited by 4 publications

(1 citation statement)

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“…In addition to the presence of infection with suture dehiscence [7][8][9], later appearance of paresthesia and distal edema occurs, which is not always reason for spontaneous complaint of the patient, but presents with greater frequency than the reported in the literature and is a long term cause of great discomfort [10]. In some patients, the presence of episodes of lymphangitis and recurrent erysipelas has been observed, which certainly worsens and encourages further edematous presentation.…”

Section: Introductionmentioning

confidence: 99%

Intercorrências clínicas no membro submetido à exérese de veia safena magna para revascularização do miocárdio

Belczak

Tyszka²,

Godoy³

et al. 2009

Rev Bras Cir Cardiovasc

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Intercorrências clínicas no membro submetido à exérese de veia safena magna para revascularização do miocárdioClinical complications of limb undergone harvesting of great saphenous vein for coronary artery bypass grafting using bridge technique Abstract Objective: The aim of this study was to assess clinical complications of limbs undergone harvesting of the great saphenous vein for venous coronary artery bypass graft surgery using bridge technique.Methods: Fourty-four patients who had undergone CABG using the great saphenous vein harvested by the bridge technique over more than 3 months ago were randomly selected. The exclusion criteria were the harvesting of both saphenous veins, prior saphenectomy of the contralateral limb, edema caused by a systemic etiology, such as heart, renal, thyroid or hepatic diseases and venous insufficiency of the lower limbs as characterized by swollen varicose veins both with and without trophic changes. The age, gender, diabetes, time of surgery and occurrence of complications, such as edema, paresthesia, infection, lymphorrhea, erysipelas and deep venous thrombosis, were assessed. The assessment was clinic and diagnosis of the diabetes was performed by the preoperative exams. The chisquare, Fisher and Student's t tests were used for statistical analysis with an alpha error of 5%.Results: The time between surgery and assessment ranged between 3 and 187 months with a mean of 47.3±42.5 months. Infections of the saphenous harvest site were detected in 25% of the cases, edema in 52.3%, paresthesia in 29.5%, erysipelas in 9.1%, lymphorrhea in 4.5% and deep venous thrombosis in 2.3%. There was no association between diabetes and complications.Conclusion: The saphenous vein harvesting using bridge technique for coronary artery bypass grafting does not eliminate clinical complications, such as paresthesia, infection and edema of the saphenous vein harvesting site. Descriptors:Saphenous vein. Myocardial revascularization. Postoperative complications/etiology. Coronary artery bypass/methods. ResumoObjetivo: Avaliar as intercorrências clínicas nos membros submetidos a retirada da veia safena magna por técnica de incisões escalonadas para sua utilização como enxerto venoso na revascularização do miocárdio.Métodos: Selecionou-se aleatoriamente 44 pacientes submetidos a revascularização do miocárdio utilizando a veia safena magna retirada por incisões escalonadas há mais de 3 meses. Critérios de exclusão: retirada da veia safena de ambos os lados; safenectomia prévia do membro contralateral; etiologias de edema de causas sistêmicas, tais como cardíacas, This study was carried out at the Clinics of Cardiac Surgery of Maringá, PR.

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Section: Introductionmentioning

confidence: 99%