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Valve Reconstruction for Deep Venous Reflux

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Current Management of Venous Diseases

Abstract

Deep venous reflux, isolated or associated with deep venous obstruction, is an important cause of severe chronic venous insufficiency. The most frequent etiology of deep venous reflux is valve incompetence due to post-thrombotic syndrome (secondary reflux); primary reflux is less frequent and congenital is rare.

Deep venous reconstructive surgery is usually recommended for those cases not responding to conservative therapies. A precise patient selection and treatment strategy are essential. Different surgical techniques and outcomes are correlated to different etiologies. Deep venous surgery is safe and able to improve considerably the quality of life in patients affected by severe chronic venous insufficiency.

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Abbreviations

AV:

Axillary vein

CFV:

Common femoral vein

CVI:

Chronic venous insufficiency

DFV:

Deep femoral vein

DUS:

Duplex ultrasound

DVR:

Deep venous reflux

DVS:

Deep venous system

EF:

Ejection fraction

FV:

Femoral vein

GSV:

Great saphenous vein

IVUS:

Intravascular ultrasound

PTFE:

Polytetrafluoroethylene

PTS:

Post-thrombotic syndrome

PV:

Popliteal vein

QoL:

Quality of life

RVF:

Residual volume fraction

VCSS:

Venous clinical severity score

VFI:

Venous filling index

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hesperia Hospital Deep Venous Surgery Center, Via Arquà 80/A, 41125, Modena, Italy

    Oscar Maleti MD & Marzia Lugli MD

  2. Math-Tech-Med University of Ferrara, Ferrara, Italy

    Oscar Maleti MD

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  1. Oscar Maleti MD
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  2. Marzia Lugli MD
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Correspondence to Oscar Maleti MD .

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Editors and Affiliations

  1. Section of Vascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA

    Cassius Iyad Ochoa Chaar

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Maleti, O., Lugli, M. (2018). Valve Reconstruction for Deep Venous Reflux. In: Chaar, C. (eds) Current Management of Venous Diseases . Springer, Cham. https://doi.org/10.1007/978-3-319-65226-9_17

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  • DOI: https://doi.org/10.1007/978-3-319-65226-9_17

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