Changes in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiency

World Journal of Surgery
A C TingG C Cheung

Abstract

The purpose of this study was to determine the hemodynamic changes after superficial vein surgery in patients with mixed superficial and deep venous insufficiency (MVI). Between July 1996 and June 1998, all patients with MVI together with saphenofemoral reflux were evaluated prospectively with air plethysmography (APG) and duplex scanning before and 1 month after superficial vein surgery. Saphenofemoral flush ligation without stripping was performed with multiple small incisions for avulsion of varicosities. Seventy-eight patients with 102 operated limbs were included for analysis. The venous filling index (VFI), ejection fraction (EF), and residual volume fraction (RVF) improved significantly after superficial vein surgery (mean VFI 5.99 +/- 3.39 vs. 1.82 +/- 1.21 ml/s, p < 0.001; mean EF 48.39% +/- 11.74% vs. 52.78% +/- 14.33%, p < 0.05; mean RVF 49.80% +/- 11.18% vs. 36.19% +/- 12.98%, p < 0.001, respectively, before and after operation). The proportion of limbs with deep venous incompetence on duplex scanning at more than one site decreased from 70% to 44% after operation. The mean number of sites with deep venous incompetence decreased from 2.14 +/- 0.96 to 1.52 +/- 1.21 after operation (p < 0.001). In conclusion, superfic...Continue Reading

Citations

Sep 6, 2003·ANZ Journal of Surgery·Allan J KrugerRobert A Fitridge
Oct 17, 2013·Annals of Vascular Diseases·Masatoshi JibikiTomoko Kagayama
Oct 7, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P CiostekW Noszczyk
Sep 21, 2004·Angiology·C Recek

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