Ultrasonic vein mapping prior to infrainguinal autogenous bypass grafting reduces postoperative infections and readmissions

Linni, Klaus; Mader, N.; Aspalter, Manuela; Butturini, Enzo; Ugurluoglu, Ara; Hitzl, Wolfgang; Hölzenbein, Thomas

doi:10.1016/j.jvs.2011.10.135

Cited by 19 publications

(17 citation statements)

References 21 publications

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“…There is an extensive variation in the reported incidence of SWI after lower limb vascular surgery. In prospective studies with the number of patients ranging from 69 to 561, the incidence of SWI was found to be between 3.5% and 32% (3–13).…”

Section: Incidencementioning

confidence: 99%

“…Another meta-analysis of 43 studies with 27,789 patients revealed that endoscopic vein harvesting reduces the risk of SWI in patients undergoing CABG compared with open technique (OR = 0.27; 95% CI = 0.22–0.32) (61). Furthermore, ultrasound vein mapping of the great saphenous vein reduced the risk of major SWI (1.9% vs 21.2%, p = 0.004) compared with no vein mapping in infrainguinal bypass surgery in a prospective randomized study of 103 patients (10). Using ultrasound vein mapping of great saphenous vein and minimally invasive vein harvest technique for lower limb revascularisation surgery may be beneficial in order to avoid SWI.…”

Section: Preventionmentioning

confidence: 99%

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Surgical wound infections after peripheral vascular surgery

Turtiainen

Hakala

2014

Scand J Surg

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Surgical wound infection is one of the most common complications after peripheral vascular surgery. it increases the affected patient's risk for major amputation as well as mortality. furthermore, surgical wound infection is an additional cost. Wound infections after vascular surgery are of multifactorial nature and generally result from the interplay of patient-and procedure-related factors. the use of systemic antibiotic prophylaxis may be the most important method in preventing surgical wound infections. in this review article, we report the current literature of surgical wound infections after peripheral vascular surgery.

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Section: Incidencementioning

confidence: 99%

Section: Preventionmentioning

confidence: 99%

Surgical wound infections after peripheral vascular surgery

Turtiainen

Hakala

2014

Scand J Surg

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“…The majority of vascular surgery procedures are classified as clean surgery by the US National Research Council because they are performed in uninfected tissue without signs of inflammation [ 1 ]. The reported incidence of surgical wound infections after lower limb vascular surgery varies between 3.5 and 32 % [ 1 – 4 ]. Therapy for symptomatic chronic venous obstruction and post-thrombotic syndrome (PTS) has changed during the last few years.…”

Section: Introductionmentioning

confidence: 99%

Effect of a new incision management system (PREVENA®) on wound healing after endophlebectomy of the common femoral vein: a case series

et al. 2016

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BackgroundNew endovascular techniques facilitate treatment of complex deep vein obstructions in cases of post-thrombotic syndrome. In a relevant number of these patients, endophlebectomy including the implantation of an arteriovenous fistula between the common femoral artery and the femoral vein is indispensable in order to establish a good inflow. These procedures display a high risk of wound complications. Despite conservative efforts to prevent these postoperative complications, wound healing problems occur in more than 20 % of cases. The present case report is the first description of wound dressing using a PREVENA® incision management system in cases of endophlebectomy.Case presentationA single center’s experience with the incision management system PREVENA®, which was used after endophlebectomy and venous stenting in complex hybrid procedures in three white men aged 46 years, 53 years, and 61 years is the subject of this case report. Although the surgical procedures were performed under therapeutical anticoagulation and took a couple of hours, no wound complications occurred.ConclusionsThese encouraging results underline a potential benefit of the incision management system PREVENA® in cases of complex venous recanalization including endophlebectomy of the femoral vein as well as the implantation of an arteriovenous fistula.

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“…Our group has reported previously that thorough preoperative assessment of vein status in every patient is crucial for success of the operation. 2,3 We check the diameter of the vein and, if there is suspicion of varicose veins, we do check for valve dysfunction in the same assessment. We did not observe expansion of the vein graft either before or after the operation in any of these patients.…”

mentioning

confidence: 99%