CABG, Compression Bandages, Coronary Artery Bypass Graft, Delayed Wound Healing, Leg Swelling, Limb Edema, Post Operative Complications, Post Operative Surgical Site Infection, Saphenectomy, Saphenous Vein, Surgical Site Infections
Conditions
Keywords
compression bandages, compression therapy, customized pressure-guided elastic bandages, CABG, coronary arterial bypass graft
Brief summary
The study aimed to assess the efficacy of customized pressure-guided elastic bandages (CPG-EB) in preventing postoperative edema and complications in Coronary Artery Bypass Graft (CABG) patients. While compression therapy, like compressive stockings, has benefits in preventing edema, concerns about affordability persist. CPG-EB provides optimal sub-bandage pressure, proven effective in venous leg ulcers. Implementing CPG-EB post-CABG could enhance venous blood flow, reducing complications and improving outcomes. Patients were divided into two groups: one with CPG-EB and the other standard post-CABG care. Data collected at 1, 2, and 6 weeks post-surgery assessed swelling and wound complications. Comparative analysis used standardized criteria.
Detailed description
Inclusion Criteria : 1. All patients scheduled for elective coronary artery bypass grafting (CABG) surgery with saphenous vein harvesting from the leg at Siriraj Hospital. 2. Patients aged 18 years and older undergoing CABG surgery with saphenous vein harvesting from the leg at Siriraj Hospital, who willingly consent to participate in the study. Exclusion Criteria : \* 1. Patients with an Ankle-brachial pressure index (ABI) \< 0.8 2. Patients with severe leg swelling (pitting edema of grade 3 or higher) or with pre-existing or post-operative heart failure that remains uncontrolled despite diuretic therapy. 3. Patients with occlusive peripheral arterial disease (PAD) or chronic venous insufficiency (CEAP 2s), characterized by significant venous stasis, leg pain, varicose veins, or lymphadenopathy.
Interventions
DEVICECPG-EB group
Customized-pressure guided elastic bandage group
Sponsors
Siriraj Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. All patients scheduled for elective coronary artery bypass grafting (CABG) surgery with saphenous vein harvesting from the leg at Siriraj Hospital. 2. Patients aged 18 years and older undergoing CABG surgery with saphenous vein harvesting from the leg at Siriraj Hospital, who willingly consent to participate in the study.
Exclusion criteria
1. Patients with an Ankle-brachial pressure index (ABI) \< 0.8 2. Patients with severe leg swelling (pitting edema of grade 3 or higher) or with pre-existing or post-operative heart failure that remains uncontrolled despite diuretic therapy. 3. Patients with occlusive peripheral arterial disease (PAD) or chronic venous insufficiency (CEAP 2s), characterized by significant venous stasis, leg pain, varicose veins, or lymphadenopathy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence rate of leg swelling | 1, 2 and 6 weeks after CABG surgery | Chi-square test |
| Rate of severity level of swelling | 1, 2 and 6 weeks after CABG surgery | Chi-square test |
| differences in leg circumference at various locations between preoperative and postoperative measurements between the two groups. | 1, 2 and 6 weeks after CABG surgery | Independent sample t-test or Mann-Whitney U test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| infection rate | 1, 2 and 6 weeks after CABG surgery | Chi-square test |
| rate of delayed wound healing | 1, 2 and 6 weeks after CABG surgery | Chi-square test |
| rate of numbness | 1, 2 and 6 weeks after CABG surgery | Chi-square test |
Countries
Thailand
Contacts
CONTACTRatcharnon Srifa, MD
CONTACTNachasa Khongchu, MSc
STUDY_DIRECTORPrompak Nitayavardhana, MD
Siriraj Hospital
Outcome results
None listed