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Strategies to Minimize Sternal and Leg Wound Complications after Coronary Artery Bypass Grafting Using No-Touch Saphenous Vein Grafts
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作者:

Kim, Min-Seok
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机构:
Myongji Hosp, Cardiovasc Ctr, Goyang Si, Gyeonggi Do, South Korea Myongji Hosp, Cardiovasc Ctr, Goyang Si, Gyeonggi Do, South Korea

Hwang, Seong Wook
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Myongji Hosp, Cardiovasc Ctr, Goyang Si, Gyeonggi Do, South Korea Myongji Hosp, Cardiovasc Ctr, Goyang Si, Gyeonggi Do, South Korea

Kim, Ki-Bong
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Myongji Hosp, Cardiovasc Ctr, Goyang Si, Gyeonggi Do, South Korea Myongji Hosp, Cardiovasc Ctr, Goyang Si, Gyeonggi Do, South Korea
机构:
[1] Myongji Hosp, Cardiovasc Ctr, Goyang Si, Gyeonggi Do, South Korea
关键词:
coronary artery bypass grafting;
internal thoracic artery;
saphenous vein;
complications;
INTERNAL-THORACIC-ARTERY;
MEDIASTINITIS;
HARVEST;
CLOSURE;
PATENCY;
WIRES;
D O I:
10.5761/atcs.oa.23-00154
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Purpose: The aims of the present study were to examine sternal and saphenous vein (SV) harvest site wound complication rates, and to assess the strategies to minimize the sternal and leg wound complications after coronary artery bypass grafting using a no-touch Methods: Patients who underwent coronary artery bypass grafting (CABG) using internal thoracic artery (ITA) and/or NT SV grafts from March 2021 to June 2023 (N = 166) at a newly opened cardiac surgical program were included. We obeyed the current guidelines for the prevention of sternal wound infection. In addition, unilateral ITA was used in most of the patients and the sternal wound was meticulously closed using multiple sternal wires (>= 7) and ZipFix. For the NT SV harvesting, the LigaSure device was used to minimize thermal injury, and the wound was meticulously closed. Results: Sternal wound infections developed in 3/166 (1.8%) patients; all three patients showed superficial sternal wound infections. Leg wound complications were present in 2/153 (1.3%) patients, who recovered after secondary intention healing. Conclusion: Sternal wound complications after CABG could be minimized by the unilateral ITA usage, meticulous closure of the sternal wound in addition to compliance with the current guidelines. Wound complications after NT SV harvest may also be minimized by preoperative evaluation, careful harvesting, and meticulous wound closure.
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Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China

Song, Bangrong
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h-index: 0
机构:
Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China

Huang, Zhuhui
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Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China

Zheng, Jubing
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Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China

Dong, Ran
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Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China
[10]
The number of wires for sternal closure has a significant influence on sternal complications in high-risk patients
[J].
Kamiya, Hiroyuki
;
Al-maisary, Sameer S. A.
;
Akhyari, Payam
;
Ruhparwar, Arjang
;
Kallenbach, Klaus
;
Lichtenberg, Artur
;
Karck, Matthias
.
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY,
2012, 15 (04)
:665-670

Kamiya, Hiroyuki
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h-index: 0
机构:
Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany

Al-maisary, Sameer S. A.
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h-index: 0
机构:
Heidelberg Univ, Dept Cardiac Surg, Heidelberg, Germany Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany

Akhyari, Payam
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany

Ruhparwar, Arjang
论文数: 0 引用数: 0
h-index: 0
机构:
Heidelberg Univ, Dept Cardiac Surg, Heidelberg, Germany Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany

Kallenbach, Klaus
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h-index: 0
机构:
Heidelberg Univ, Dept Cardiac Surg, Heidelberg, Germany Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany

Lichtenberg, Artur
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h-index: 0
机构:
Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany

Karck, Matthias
论文数: 0 引用数: 0
h-index: 0
机构:
Heidelberg Univ, Dept Cardiac Surg, Heidelberg, Germany Univ Dusseldorf, Dept Cardiovasc Surg, D-40225 Dusseldorf, Germany