The study evaluated the effectiveness of customized pressure-guided elastic bandages (CPG-EB) in managing postoperative edema and complications in patients undergoing Coronary Artery Bypass Graft (CABG) surgery. Elastic Bandages, Coronary Artery Bypass, Postoperative Complications, Edema, Compression Therapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
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
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 |
|---|---|
| incidence rate of leg swelling 1, 2 and 6 weeks after CABG surgery Percent,Rate of severity level of swelling 1, 2 and 6 weeks after CABG surgery Percent,differences in circumference of the leg 1, 2 and 6 weeks after CABG surgery centimetre | — |
Secondary
| Measure | Time frame |
|---|---|
| infection rate 1, 2 and 6 weeks after CABG surgery Percent,rate of delayed wound healing 1, 2 and 6 weeks after CABG surgery Percent,rate of numbness 1, 2 and 6 weeks after CABG surgery Percent | — |
Countries
Thailand
Contacts
Faculty of Medicine Siriraj Hospital, Mahidol University