PMID: 20635720Jul 20, 2010Paper

First experience in forming a multi-flap valve of the common femoral vein in avalvulation of the deep veins of lower extremities

Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery
I M Ignat'evR A Bredikhin

Abstract

From 2008 to 2009, we operated on a total often 40-to-54-year-old patients (eight women and two men). In four cases, avalvulation of the deep veins was congenital (primary) and in the remaining six instances, it was secondary to postthrombotic lesions of the valves with complete recanalization and pronounced vertical reflux along the deep veins. The distribution of the patients according to the CEAP classification was as followed: two patients were found to have grade C4b, seven patients were diagnosed with grade C5 and one patient suffered grade C6. All patients were subjected ultrasonographic duplex scanning. Four patients required additional procedures following aortic repair. Retrograde phlebography performed in all the patients revealed that all had grade 4 pathological reflux according to R. Kistner's classification. Nine patients had a history of previously performed interventions on the superficial and perforating veins. The operation was indicated in severe forms of chronic venous insufficiency and failure of conventional methods of surgical and conservative treatment. The formation of a multi-flap valve of the common femoral vein was carried out according to an original technique suggested by J. C. Opie (2008). Clinic...Continue Reading

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