Related Experiment Video

Updated: Dec 29, 2025

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
08:05

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

4.8K

Great saphenous vein stump: a risk factor for superficial/deep venous thrombosis and an indication for prophylactic

Yasir Khan1, Muhammad Arslan Cheema1, Hafez Mohammad Ammar Abdullah2

  • 1Department of Internal Medicine, Abington - Jefferson Health, Abington, USA.

Journal of Community Hospital Internal Medicine Perspectives
|February 1, 2020
PubMed

Insights

The risk of blood clots in the great saphenous vein (GSV) stump after coronary artery bypass graft (CABG) surgery is low. Further studies are needed, but routine anticoagulation for GSV stump thrombosis is not currently recommended.

Area of Science:

  • Vascular Surgery
  • Cardiology
  • Thrombosis Research

Background:

  • Great saphenous vein (GSV) grafts are utilized in coronary artery bypass grafting (CABG).
  • The GSV stump post-CABG may pose a risk for developing venous thrombosis.
  • Lower extremity swelling is a potential indicator of GSV stump complications.

Purpose of the Study:

  • To investigate the incidence of GSV stump thrombosis in patients experiencing lower extremity swelling post-CABG.
  • To assess the risk factors associated with GSV stump thrombosis.
  • To determine the necessity of prophylactic anticoagulation for GSV stump thrombosis.

Main Methods:

  • A retrospective analysis of 100 patients undergoing CABG with GSV grafting was performed.
  • Patients were monitored for seven days for saphenous vein thrombosis without prophylactic anticoagulation.
  • Risk factors and confounding variables were recorded, and duplex ultrasound was used for diagnosis.

Main Results:

  • Fourteen percent of patients developed lower extremity pain and swelling post-CABG.
  • No cases of saphenous vein thrombosis in the GSV stump were detected via duplex ultrasound in symptomatic patients.
  • The mean age of patients was 70 years, with 65% being male.

Conclusions:

  • The postoperative risk of GSV stump thrombosis extending to deep veins appears to be low.
  • Prophylactic anticoagulation for venous thromboembolism is not warranted based on these findings.
  • Further prospective studies with larger sample sizes and longer durations are recommended to confirm these results.

Keywords:
Saphenousanticoagulationgraftthrombosisvenous thrombosis

More Related Videos

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg09:04

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

9.1K
Procedure for Human Saphenous Veins Ex Vivo Perfusion and External Reinforcement09:50

Procedure for Human Saphenous Veins Ex Vivo Perfusion and External Reinforcement

Published on: October 1, 2014

11.7K

Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
210
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
233
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
231
Veins of Lower Limbs01:15

Veins of Lower Limbs

The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
2.0K
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
157
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
291