Endoscopic Versus Open Vein Harvesting: Impact on Wound Complications, Pain, and Graft Patency

2.50
Hdl Handle:
http://hdl.handle.net/10755/149022
Type:
Presentation
Title:
Endoscopic Versus Open Vein Harvesting: Impact on Wound Complications, Pain, and Graft Patency
Abstract:
Endoscopic Versus Open Vein Harvesting: Impact on Wound Complications, Pain, and Graft Patency
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Pecsi, Sharon A., MSN, RN
P.I. Institution Name:Zablocki Veterans Administration Medical Center
Title:Research Coordinator, VA Cooperative Studies Program
Co-Authors:Laurie A. Radojevich, MSN, APRN, BC
Background: CABG requires the harvesting of conduits to replace blocked vessels. Open vein harvesting (OVH) creates incisions that are sources of post-operative complications. Leg incisions are a source of wound complications leading to patient discomfort. Endoscopic vein harvesting (EVH) is performed through a minimally invasive technique. Atruamatic harvest of the vein is essential. Trauma and disruption of the endothelium is thought to accelerate atherosclerosis and patency rates. Preservation of the endothelium is a factor in long-term patency of saphenous vein grafts. EVH involves increased traction on the vein causing the potential for vascular trauma. EVH has many positive affects on wound complications, pain, and patient satisfaction levels. Although, vein graft patency rates of conduits harvested under EVH techniques have not been proven by a verifiable methodology. Current studies document patency rates through lack of post-operative MI and symptomatology, but lack 1-year post-op catherization data. Are the benefits of decreased wound complications and pain worth the potential risk of early graft failure following CABG? Purpose: This study determines if OVH vs. EVH technique influences one-year graft patency rates, wound complications, and pain levels. The results of this study will reveal the preferred method of vein harvesting for optimal patient outcomes. Method/Approach: Vein harvesting technique, wound complications, and pain levels will be monitored using the ASEPSIS tool, and the Wong-Baker pain scale. Wound and pain assessments are made on post-op day 3, discharge, at 2-week clinic visit, and during follow up phone calls. Vein graft patency rates will be revealed by a 1-year follow up heart catherization, but data is not available yet. Results/Outcomes: Preliminary data reveals decreased pain with the EVH technique. Seromas have been noted in the EVH group, and increased infection noted in OVH group, especially in diabetic patients. Data collection is in progress and patency rates are not yet available.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEndoscopic Versus Open Vein Harvesting: Impact on Wound Complications, Pain, and Graft Patencyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149022-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Endoscopic Versus Open Vein Harvesting: Impact on Wound Complications, Pain, and Graft Patency</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pecsi, Sharon A., MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Zablocki Veterans Administration Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Coordinator, VA Cooperative Studies Program</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Sharon.Pecsi@med.va.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Laurie A. Radojevich, MSN, APRN, BC</td></tr><tr><td colspan="2" class="item-abstract">Background: CABG requires the harvesting of conduits to replace blocked vessels. Open vein harvesting (OVH) creates incisions that are sources of post-operative complications. Leg incisions are a source of wound complications leading to patient discomfort. Endoscopic vein harvesting (EVH) is performed through a minimally invasive technique. Atruamatic harvest of the vein is essential. Trauma and disruption of the endothelium is thought to accelerate atherosclerosis and patency rates. Preservation of the endothelium is a factor in long-term patency of saphenous vein grafts. EVH involves increased traction on the vein causing the potential for vascular trauma. EVH has many positive affects on wound complications, pain, and patient satisfaction levels. Although, vein graft patency rates of conduits harvested under EVH techniques have not been proven by a verifiable methodology. Current studies document patency rates through lack of post-operative MI and symptomatology, but lack 1-year post-op catherization data. Are the benefits of decreased wound complications and pain worth the potential risk of early graft failure following CABG? Purpose: This study determines if OVH vs. EVH technique influences one-year graft patency rates, wound complications, and pain levels. The results of this study will reveal the preferred method of vein harvesting for optimal patient outcomes. Method/Approach: Vein harvesting technique, wound complications, and pain levels will be monitored using the ASEPSIS tool, and the Wong-Baker pain scale. Wound and pain assessments are made on post-op day 3, discharge, at 2-week clinic visit, and during follow up phone calls. Vein graft patency rates will be revealed by a 1-year follow up heart catherization, but data is not available yet. Results/Outcomes: Preliminary data reveals decreased pain with the EVH technique. Seromas have been noted in the EVH group, and increased infection noted in OVH group, especially in diabetic patients. Data collection is in progress and patency rates are not yet available.</td></tr></table>en_GB
dc.date.available2011-10-26T09:54:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:54:44Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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