Key result
Incisional wound complications occurred in 24% of infrainguinal bypass procedures, with body mass index being the only significant predictor of complication risk (P<0.05).
Why the study?
What is the incidence and what are the risk factors for saphenectomy site complications following lower extremity revascularization?
Cohort (n=133)
What is the incidence and what are the risk factors for saphenectomy site complications following lower extremity revascularization?
Most bypass-related wound complications involve arterial access incisions rather than the saphenectomy site, suggesting that limiting saphenectomy size may not significantly reduce overall incisional morbidity.
A review of saphenectomy site complications following lower extremity revascularization was conducted. Leg incisions used for 133 consecutive infrainguinal bypass procedures were categorized by location. Patient and procedural risk factors were analyzed for risk of wound complications. Procedure, limb and patient outcome were reported via life table analysis. Incisional wound complications followed 32/133 procedures (24%), including 15 groin, eight saphenectomy, five distal and four vein/distal incisions. There were five grade I and three grade II saphenectomy complications. Only weight (body mass index) predicted the likelihood of wound complication ( P < 0.05). The 6-month primary patency rate was 79% (mean follow-up 22 months). Four-year assisted primary patency, limb salvage and survival rates were 75.87 and 57%, respectively. Most bypass-related wound complications (24/32, 75%) involve arterial access incisions. Incisional complications are related to body mass index. Only 6% of GS vein bypass procedures develop saphenectomy site complications. Limiting saphenectomy size may not significantly reduce incisional morbidity following bypass grafting. Published by Elsevier Science Ltd.
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Dalman et al. (2000) conducted a cohort in Lower extremity revascularization (n=133). Infrainguinal bypass procedures was evaluated on Incisional wound complications (p=<0.05). Incisional wound complications occurred in 24% of infrainguinal bypass procedures, with body mass index being the only significant predictor of complication risk (P<0.05).
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