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[Segmental variations of great saphenous vein diameters in a coronary triple vessel disease population]
G Sleilaty1, A Maoula, K Hachem
1Service de chirurgie cardiovasculaire, hôpital Hôtel-Dieu de France, université Saint-Joseph, rue Alfred-Naccache, Achrafieh, BP 166830, Beyrouth, Liban. sanasl@inco.com.lb
Insights
Great saphenous vein (GSV) dimensions vary significantly by sex below the knee and linearly with body mass index and body surface area in coronary artery bypass grafting patients. These findings aid in understanding GSV variations for surgical planning.
Area of Science:
- Vascular anatomy and surgical applications.
- Cardiovascular surgery and graft selection.
Context:
- The great saphenous vein (GSV) is a critical graft in cardiovascular surgery, yet comprehensive dimensional data is limited.
- Understanding GSV variations is essential for optimizing graft selection and surgical outcomes.
Purpose:
- To describe the segmental diameters of the great saphenous vein (GSV) in a coronary artery bypass grafting (CABG) population.
- To analyze variations in GSV dimensions based on patient characteristics.
Summary:
- A retrospective analysis of 402 CABG patients revealed significant variations in GSV dimensions.
- GSV diameters below the knee differed significantly between sexes.
- Body mass index and body surface area were linearly associated with GSV diameters at all levels.
Impact:
- This study provides reference tables for GSV segmental diameters in a relevant surgical population.
- Findings highlight the influence of sex, BMI, and body surface area on GSV dimensions, informing surgical practice.
- Establishes a basis for personalized graft selection in cardiovascular procedures.
Background:
Great saphenous vein is one of the most used grafts in cardiovascular surgery. There is little amount of data in the medical literature describing dimensions of this vein. This series describes dimensions of the great saphenous vein in a coronary population and their variations.
Patients And Methods:
Retrospective series of patients admitted to the cardiovascular surgery department of Hotel-Dieu de France Hospital - Beirut, between January 2003 and June 2006 for elective coronary artery bypass grafting and having a preoperative Doppler ultrasound of the saphenous veins according to a standardized protocol. Great saphenous vein dimensions were analyzed with regard to patients' characteristics using multivariable analysis of variance.
Results:
Four hundred and two subjects were included with a mean age 64.4+/-9.3 years and a mean body mass index 27.9+/-4.5 kg/m(2). Women presented 22.6% of the series. Great saphenous vein dimensions' variations according to gender were significant (Multivariate Pillay trace=0.001) below the knee. Dimensions' variations were also significant as function of body mass index (P=0.001) and body surface (P=0.001). Age and cardiovascular risk factors did not influence GSV diameters.
Conclusion:
This series allowed constructing reference tables of the great saphenous vein segmental diameters in patients admitted for coronary artery surgery. Female sex is associated with lower segmental diameters below the knee and body mass index and body surface are linearly associated with segmental diameters at all levels.
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