Saphenous Vein Cutdown Periprocedural Care

Updated: Mar 19, 2021
  • Author: Matthew A Silver, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Periprocedural Care


Equipment used in saphenous vein cutdown includes the following:

  • Mask and sterile preparatory solution, gown, gloves, drape
  • Gauze pads
  • Syringe, 5 mL, with a 25-gauge needle
  • Scalpel, No. 10 or No. 11 blade
  • Curved hemostat
  • Scissors
  • Intravenous (IV) catheter (≥14 gauge)
  • IV tubing
  • Two silk ties, 3-0
  • Nylon suture, 4-0, on a cutting needle
  • Tourniquet (optional)

Patient Preparation

Local anesthesia is used (1% lidocaine with or without epinephrine).

The patient is is placed in a supine position with the foot externally rotated. A tourniquet can be placed above the ankle but is not necessary.