Surgeon’s Focussed Ultrasound Examination of the Long Saphenous Vein Reduces Surgical Time and Wound Complications

Aguirre, Victor; Connolly, Catherine; Stuklis, Robert; Cullen, Hugh; Viana, Fabiano; Worthington, Michael

doi:10.1016/j.hlc.2018.09.012

Cited by 2 publications

(8 citation statements)

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“…The possible risk of bias was assessed using either the Cochrane Risk of Bias Assessment [18] or the ROB-INS-I tool [19] for the RCTs [20,21] and non-RCTs [6,12,22], as appropriate (Table 1). Both risk of bias assessment tools include several domains whereby in which regard each study is evaluated independently.…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Of 4514 papers screened in this systematic review, 36 papers underwent full-text assessment with final inclusion of five studies [6,12,[20][21][22] (Fig. 1).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…1). Of the five included studies, two were RCTs [20,21] and three were cohort studies [6,12,22], respectively. Studies were mainly excluded as the outcomes of interest were not reported.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Coronary artery bypass grafting (CABG) remains the standard of care for patients with three-vessel or left main CAD and improves myocardial ischemia, cardiac function, and cardiac-related mortality rates [2,4,5]. CABG requires autologous conduits; one of the most frequently used is the long saphenous vein (LSV) [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…The reported incidences of wound related complications after LSV harvest ranges from 2 to 20% [8,9]. Commonly reported leg wound complications related to saphenous vein harvesting include surgical site infection, pain, swelling, and impaired mobility [6]. Such complications are a major cause of patient morbidity, resulting in prolonged hospital stay and delayed recovery with the need for additional interventions such as debridement, antibiotic therapy, and dressing changes [6,10,11].…”

Section: Introductionmentioning

confidence: 99%

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Effect of preoperative ultrasound mapping of the saphenous vein on leg wound complications after coronary artery bypass surgery: a systematic review

et al. 2022

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Background The long saphenous vein is one of the most used conduits for coronary artery bypass graft surgery. The aim of this study was to assess the existing evidence regarding the effects of preoperative ultrasound mapping of the long saphenous vein with special attention to leg wound complications in patients undergoing elective coronary artery bypass graft surgery. Main text A systematic literature search was conducted in PubMed, Cochrane, and Embase databases. Extraction of relevant data was performed including study characteristics, patient characteristics, and all reported outcomes. The Cochrane Risk of Bias tool was used to evaluate the risk of bias of the included studies. The primary outcome measure was leg wound infections. Of 4514 papers screened in this systematic review, 36 papers underwent full-text assessment with final inclusion of 5 studies; 3 observational studies, and 2 randomized trials. The two randomized controlled trials showed no effects of preoperative ultrasound. Data from the three non-randomized studies was pooled in a meta-analysis, which suggested a significant reduction in the risk of harvest wound complications by ultrasound mapping prior to surgery (RR 0.32; 95%CI = [0.19–0.55]). Conclusions The main findings of this systematic review showed, that (1) the evidence in this field is limited and of low quality, i.e., low power or methodology and (2) despite limitations of the included studies, preoperative ultrasound mapping of the saphenous vein seems to be beneficial in terms of reducing the risk of postoperative leg wound complications.

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Section: Quality Assessmentmentioning

confidence: 99%

“…Of 4514 papers screened in this systematic review, 36 papers underwent full-text assessment with final inclusion of five studies [6,12,[20][21][22] (Fig. 1).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…1). Of the five included studies, two were RCTs [20,21] and three were cohort studies [6,12,22], respectively. Studies were mainly excluded as the outcomes of interest were not reported.…”

Section: Description Of Included Studiesmentioning

confidence: 99%