Neovalve construction in postthrombotic syndrome

Journal of Vascular Surgery
Oscar Maleti, Marzia Lugli

Abstract

The purpose of this study was to evaluate a new neovalve construction technique in postthrombotic syndrome. The surgical procedure is described, and preliminary results of the first case series are given. From December 2000 to June 2004, neovalve construction in 18 limbs was performed on 16 patients (8 male and 8 female; median age, 55.5 years; range, 34-79 years) to treat severe chronic venous insufficiency in cases of postthrombotic syndrome. Surgical treatment was recommended in cases of nonhealing or recurrent ulcers (CEAP classification class C6). Preoperative duplex scanning, ascending/descending venography, and air plethysmography were routinely performed. Valvular cusps were created by dissecting the thickened venous wall to obtain material with which to fashion a new monocuspid or bicuspid valve. Mean follow-up was 22 months (range, 1-42 months). Postoperative duplex scanning and air plethysmography were performed in all patients. Descending venography was performed after surgery in 15 limbs. In 16 lower extremities (89%), the ulcer healed within 4 to 25 weeks (median, 12 weeks), and no recurrences occurred. Neovalve competence was confirmed in 17 cases (95%). Postoperative duplex scan and air plethysmography showed a ...Continue Reading

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Citations

Nov 16, 2011·Thrombosis·Ajay K Khanna, Shivanshu Singh
Nov 4, 2016·Expert Review of Medical Devices·Benedikt WeberSimon P Hoerstrup
Mar 3, 2015·Phlebology·A Rosales
Feb 27, 2016·Phlebology·Christian-Alexander BehrendtEike Sebastian Debus
Oct 5, 2010·Phlebology·M Saedon, G Stansby
Jul 23, 2014·Circulation·Robert T Eberhardt, Joseph D Raffetto
Jul 27, 2011·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Masaki MoriyamaHiroyuki Tonami
Nov 26, 2009·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Antonio RosalesGunnar Sandbaek
Feb 26, 2013·Journal of Thrombosis and Haemostasis : JTH·M J BaldwinA H Davies
Dec 29, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Thodur VasudevanRamon L Varcoe
Nov 23, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Jorge H Ulloa, Marc Glickman
Jun 20, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Ralf R Kolvenbach

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