Journals / Damar Cerrahi Dergisi / 2015 / Cilt: 25 - Sayı: 2

Postoperative Venous Thrombosis: Frequency and Risk Factors in Patients Undergoing Isolated Coronary Artery Bypass Graft Surgery

Pages
59–65
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In 24 (23.5%) patients, acute thrombosis was detected at great saphenous vein (GSV) stump in the saphenous vein-harvested extremity, and it was statistically significant (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this study, we investigated whether there was any difference between the extremity that was used for harvesting saphenous vein and the contralateral one with regard to frequency of venous thrombosis (VT) and the risk factors in patients who underwent coronary artery bypass graft (CABG) procedure.
📊
Key Findings & Data:Material and Methods: This prospective study included 102 patients who underwent isolated CABG operation.
💡
Conclusion & Impact:In 24 (23.5%) patients, acute thrombosis was detected at great saphenous vein (GSV) stump in the saphenous vein-harvested extremity, and it was statistically significant (p
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: In this study, we investigated whether there was any difference between the extremity that was used for harvesting saphenous vein and the contralateral one with regard to frequency of venous thrombosis (VT) and the risk factors in patients who underwent coronary artery bypass graft (CABG) procedure. Material and Methods: This prospective study included 102 patients who underwent isolated CABG operation. Frequency of VT was investigated in extremity that was used for harvesting saphenous vein and the contralateral one. A total of 102 patients (86 males and 16 females; mean age: 63 ± 9.99 years, ranging between 39 - 79 years) underwent CABG operation in our clinic between July 2013 and December 2014. The patients were examined with Doppler ultrasonography on postoperative day 5 to investigate development of VT. Results: VT was detected in the extremity from which saphenous vein was harvested in 4 (3.92%) of 102 patients. No VT was detected in contralateral extremities. There was no statistically significant difference in terms of VT between the extremity from which saphenous vein is harvested and the contralateral extremity (p>0.05). In 24 (23.5%) patients, acute thrombosis was detected at great saphenous vein (GSV) stump in the saphenous vein-harvested extremity, and it was statistically significant (p

Özet

Amaç: Bu çalışmada izole koroner arter baypas greft (KABG) operasyonu uygulanan hastalarda safen ven grefti (SVG) alınan ve alınmayan ekstremiteler arasında venöz tromboz (VT) sıklığı ve risk faktörleri açısından fark olup olmadığı araştırıldı. Gereç ve Yöntemler: Çalışmaya izole KABG ameliyatı yapılan 102 hasta alındı. SVG alınan ekstremite ve alınmayan ekstremitede VT sıklığı ve risk faktörleri araştırıldı. Temmuz 2013 - Aralık 2014 tarihleri arasında, kliniğimizde KABG operasyonu uygulanan 102 hasta (86 erkek, 16 kadın; ortalama 63 ± 9,99 yıl; dağılım 39 - 79 yıl) prospektif olarak incelendi. Hastalara VT taraması amacı ile postoperatif 5. günde renkli Doppler ultrasonografi yapıldı. Bulgular: KABG yapılan 102 hastanın 4'ünde (%3,92) SVG hazırlanan ekstremitede VT tespit edildi. SVG çıkarılmayan kontralateral ekstremitede VT saptanmadı. SVG çıkarılan ve çıkarılmayan ekstremiteler karşılaştırıldığında istatistiksel olarak anlamlı fark yoktu (p>0.05). Yirmi dört hastada (%23,5) SVG çıkarılan bacakta vena safena magna güdüğünde akut tromboz tespit edildi. Bu sonuç istatistiksel açıdan anlamlıydı (p

🔖

Cite This Article

TAŞTAN, H., ŞENOL, H., GÜNEŞ, T., AĞLADIOĞLU, K., TANRISEVER, G. Y., EMRECAN, B., ALUR, İ. (2022). Postoperative Venous Thrombosis: Frequency and Risk Factors in Patients Undergoing Isolated Coronary Artery Bypass Graft Surgery. Damar Cerrahi Dergisi, Cilt: 25 - Sayı: 2, 59–65. https://ajindex.com/articles/486707

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Labropoulos N, Bishawi M, Gasparis A, Tassiopoulos A, Gupta S. Great saphenous vein stump thrombosis after harvesting for coronary artery bypass graft surgery. Phlebology 2014; 29: 215–219
  2. Karabay Ö, Karabay N, Gülcü A, Kuserli Y, Karaarslan K, Silistreli E, et al. The incidence of deep venous thrombosis after endovascular stent-graft treatment of abdominal aortic aneurysms. Turk Gogus Kalp Dama 2012; 20(1): 79–84
  3. Golomb BA, Chan VT, Denenberg JO, et al. Risk marker associations with venous thrombotic events: a cross-sectional analysis. BMJ Open. 2014 Mar 21; 4(3):e003208. doi: 10.1136/bmjopen-2013-003208
  4. C Sucker, K Tharra, J Litmathe, RE Scharf, RB Zotz. Rotation thromboelastography (ROTEM) parameters are influenced by age, gender, and oral contraception. Perfusion. 2011 Jul; 26(4): 334–340
  5. Kulik A, Rassen JA, Myers J, Schneeweiss S, Gagne J, Polinski JM, et al. Comparative Effectiveness of Preventative Therapy for Venous Thromboembolism After Coronary Artery Bypass Graft Surgery. Circ Cardiovasc Interv. 2012; 5: 590–596
  6. Close V, Purohit M, Tanos M, Hunter S. Should patients post-cardiac surgery be given low molecular weight heparin for deep vein thrombosis prophylaxis? Interactive CardioVascular and Thoracic Surgery 2006; 5: 624– 629
  7. Shammas NW. Pulmonary embolus after coronary artery bypass surgery: a review of the literature. Clin Cardiol. 2000; 23: 637–644
  8. Hannan EL, Racz MJ, Walford G, Ryan TJ, Isom OW, Bennett E, et al. Predictors of readmission for complications of coronary artery bypass graft surgery. JAMA 2003; 290: 773– 780
  9. Protopapas AD, Baig K, Mukherjee D, Athanasiou T. Pulmonary embolism following coronary artery bypass grafting. J Card Surg. 2011; 26: 181–188
  10. Schwann TA, Kistler L, Engoren MC, Habib RH. Incidence and predictors of postoperative deep vein thrombosis in cardiac surgery in the era of aggressive thromboprophylaxis. Ann Thorac Surg. 2010; 90: 760–766
  11. Aziz F, Patel M, Ortenzi G, Reed AB. Incidence of Postoperative Deep Venous Thrombosis Is Higher among Cardiac and Vascular Surgery Patients as Compared with General Surgery Patients. Ann Vasc Surg. 2015 May; 29(4): 661–669. doi: 10.1016/j.avsg.2014.11.025. Epub 2015 Feb 28
  12. Ambrosetti M, Salerno M, Zambelli M, Mastropasqua F, Tramarin R, Pedretti RF. Deep vein thrombosis among patients entering cardiac rehabilitation after coronary artery bypass surgery. Chest 2004; 125: 191–196
  13. M. T. Severınsen, S. R. Krıstensen, S. P. Johnsen