The Effect Of Saphenous Graft Use On Venous Faılure Development In Coronary Artery Bypass Surgery

Abstract

Aim: Vena sefana magna is one of the autologous vascular grafts commonly used in coronary artery bypass surgery. After safectomy, venous insufficiency may develop or existing venous insufficiency may increase. In our study, we aimed to reveal the effects of safenectomy on venous insufficiency development and current venous insufficiency. In our study, we aimed to reveal the effects of safenectomy on venous insufficiency development and current venous insufficiency. Material and method: In our clinic, patients who had saphenous leg removed for coronary bypass surgery were grouped. Group 1: Patients with one leg below the knee saphenous vein removed. Group 2: Patients with one leg below the knee and above the knee. Group 3: Contralateral extremities of patients who were removed saphenous from one leg. We compared the clinical symptoms, examination and color Doppler Ultrasound results of the three groups before and after the operation. Result: In patients who underwent coronary bypass surgery, signs of venous insufficiency are observed clinically at the first postoperative week after safectomy. In color Doppler ultrasound, venous insufficiency does not occur, although venous reflux is prolonged and the flow increases rapidly. In the postoperative 1st month, clinical venous insufficiency findings decreased significantly compared to the 1st week. In our study, no statistically significant venous insufficiency was detected in the early postoperative period.