Prevention of Edema After Coronary Artery Bypass Graft by Customized Pressure-guided Elastic Bandages

Launched by SIRIRAJ HOSPITAL · Sep 16, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a new type of elastic bandage designed to help prevent swelling and complications after heart surgery, specifically Coronary Artery Bypass Grafting (CABG). The researchers want to find out if these customized pressure-guided bandages can be more effective than standard care in reducing swelling in the legs, which can occur after surgery. Participants in the trial will be divided into two groups: one will use the special bandages, while the other will receive regular post-surgery treatment. The study will collect information on swelling and any wound issues at 1, 2, and 4 weeks after the surgery.

To join this study, participants must be at least 18 years old and scheduled for CABG surgery that involves taking a vein from the leg. However, people with certain health conditions, such as severe leg swelling or poor blood flow, cannot participate. If you take part in this trial, you'll be helping to see if these bandages can improve recovery for future patients.

Gender

ALL

Eligibility 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:
• • 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.