Present and future options for treatment of infrainguinal deep vein disease

Journal of Vascular Surgery. Venous and Lymphatic Disorders
Raudel GarciaSteve Elias

Abstract

Management of chronic deep vein disease focuses on the alleviation of reflux and obstruction. For the suprainguinal veins, the main underlying pathologic process is obstruction, which has been recognized as a significant contributor to chronic venous insufficiency. This is currently being addressed with venous stenting and the development of dedicated stents designed for this segment of the venous system. Treatment of the femoropopliteal vein (FPV) is far more challenging because of the idiosyncratic anatomy, the hemodynamic physiology, and the technical aspects of size mismatch and valve flow dynamics in managing deep venous reflux. This review article discusses traditional and emerging technologies to treat infrainguinal disease. Previous and current articles addressing this issue were reviewed. Emphasis was placed on emerging techniques and technologies. Significant bench work, in vitro and in vivo studies, have been conducted over the last 40 years addressing the issue of infrainguinal reflux and obstruction. Historically, open procedures to address FPV reflux and obstruction have had variable success in a few centers around the world. The significant increase of emerging endovascular therapies may allow more appropriate, r...Continue Reading

Citations

Oct 7, 2020·Phlebology·Constantinos ZervidesHassan Jouni

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