Haemodynamic Management of Deep Venous Insufficiency

  • Sergio Gianesini
  • Erika Mendoza
  • Paolo ZamboniEmail author


Deep veins can be affected of reflux as well as the superficial ones, mostly after a deep vein thrombosis with alteration of the valves. In a third of the patients, a segmental duplication is found in the deep veins at the thigh. In case the deep vein reflux affects only one of the duplicated vessels, a selective interruption of the other can clearly improve the haemodynamic situation. At the calf, where several deep veins are present, a selective interruption of one of the deep vein trunks at the popliteal vein can solve recirculations involving secondary superficial varices. The rationale, practical approach and decisions are explained in the chapter.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sergio Gianesini
    • 1
    • 2
  • Erika Mendoza
    • 3
  • Paolo Zamboni
    • 5
    • 4
    Email author
  1. 1.Vascular Diseases CenterUniversity of FerraraFerraraItaly
  2. 2.USUHS UniversityBethesdaUSA
  3. 3.VenenpraxisWunstorfGermany
  4. 4.School of Vascular Surgery and Vascular Diseases CenterUniversity of FerraraFerraraItaly
  5. 5.Unit of Translational SurgeryAOU FerraraFerraraItaly

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