Surgical treatment of varicose veins and venous malformations in Klippel-Trenaunay syndrome

Phlebology
Rafael D MalgorDavid Driscoll

Abstract

Klippel-Trenaunay syndrome (KTS) is a mixed mesenchymal malformation characterised by varicose veins, venous and capillary malformations, and hypertrophy of soft tissue and bone. The purpose of this study was to evaluate the surgical outcomes in KTS patients to provide standards for comparison with endovenous therapy. The clinical data of consecutive patient with KTS who underwent open venous surgical treatment between January 1987 and December 2008 were reviewed. Demographics, clinical presentation, operative data, and clinical outcomes were recorded. Follow-up information was obtained from the medical records, mailed questionnaires and phone calls. Descriptive statistics, the Kaplan-Meier method and Log-rank statistics were used where appropriate. Twenty-seven females and 22 males, (mean age 26.5 years, range 7.7-55.8) were included in this study. All had varicose veins, 36 (73%) had limb hypertrophy, and 33 (67%) had capillary malformations, with two of three clinical features present in all. The most frequent symptom was pain (N = 43, 88%). Forty-nine patients underwent operations on 53 limbs. Stripping of the GSV, small and accessory saphenous and lateral embryonic veins was performed in 17 (32%), 10 (19%), 9 (17%), and 15...Continue Reading

References

Mar 1, 1985·Annals of Surgery·M Servelle
Mar 1, 1985·The British Journal of Surgery·P A BaskervilleN L Browse
Jan 27, 1998·Mayo Clinic Proceedings·A G JacobP Gloviczki
Oct 8, 1999·Journal of Vascular Surgery·J J SmithA H Davies
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Dec 29, 2004·Journal of Vascular Surgery·Bo EklöfUNKNOWN American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification
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Sep 30, 2010·Journal of Vascular Surgery·Michael A VasquezUNKNOWN American Venous Forum Ad Hoc Outcomes Working Group
Jun 6, 2012·Annals of Vascular Surgery·Young-Nam RohDong-Ik Kim

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Citations

Nov 26, 2010·Clinics in Plastic Surgery·Denise M Adams
Nov 9, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T UrbanekK Pawlicki
May 20, 2017·Pediatric Radiology·Premal A PatelPhilip R John
Jun 10, 2021·The Journal of Cardiovascular Surgery·Jovan N Markovic, Cynthia K Shortell

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