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Deep Vein Valve Reconstruction

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Chronic Venous Disorders of the Lower Limbs
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Abstract

Axial reflux in the deep veins is a common finding in patients with primary chronic venous insufficiency (CVI). In an attempt to improve the clinical and hemodynamic outcomes, interventions to restore the competence of the deep veins have been extensively reported. Multisystem multilevel reflux is a common finding in primary CVI. In post-thrombotic syndrome (PTS), often there is a combination of obstruction and reflux in the deep veins; both may need correction. Valvuloplasty to correct reflux in the deep veins is an adjuvant treatment option in a subset of patients with primary and secondary CVI. Compression therapy (CT) still continues to be the primary modality of treatment for CVI and leg ulcers [1].

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References

  1. Raffetto JD, Eberhardt RT. Chronic venous disorders; general considerations. In: Cronenwett JL, Johnston KW, editors. Rutherford’s vascular surgery. 7th ed. Philadelphia: Saunders/Elsevier; 2010. p. 831–43.

    Chapter  Google Scholar 

  2. Kistner RL. Primary venous valve incompetence of the leg. Am J Surg. 1980;140:218–24.

    Article  PubMed  CAS  Google Scholar 

  3. Raju S. Surgical repair of deep vein valve incompetence. In: Gloviczki P, editor. Handbook of venous disorders; guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 472–82.

    Google Scholar 

  4. Dalsing MC. Chronic venous insufficiency: deep vein valve reconstruction. In: Cronenwett JJ, Johnston KW, editors. Rutherford’s vascular surgery. 7th ed. Philadelphia: Saunders/Elsevier; 2010. p. 903–17.

    Chapter  Google Scholar 

  5. Vaidyanathan S. Subfascial ligation of the incompetent ankle perforators (Linton flap procedure) in venous ulcers and stasis dermatitis. Indian J Surg. 1985;47:495–504.

    Google Scholar 

  6. Raju S. Venous insufficiency of the lower limbs and stasis ulceration- changing concepts and management. Ann Surg. 1983;197:688–97.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  7. Ferris EB, Kistner RL. Femoral vein reconstruction in the management of chronic venous insufficiency; a 14- year experience. Arch Surg. 1982;117:1571–9.

    Article  PubMed  CAS  Google Scholar 

  8. Raju S, Fredericks R. Valve reconstruction procedures for non obstructive venous insufficiency: rationale, techniques and results in 107 procedures with 2 to eight year follow up. J Vasc Surg. 1988;7:301–10.

    Article  PubMed  CAS  Google Scholar 

  9. Sottiurai VS. Technique of direct venous valvuloplasty. J Vasc Surg. 1988;8:646–8.

    Article  PubMed  CAS  Google Scholar 

  10. Tripathi R, Ktendis KD. Trapdoor internal valvuloplasty: a new technique for primary deep vein valvular incompetence. Eur J Vasc Endovasc Surg. 2001;22:86–9.

    Article  PubMed  CAS  Google Scholar 

  11. Jessup G, Lane RJ. Repair of incompetent valves: a new technique. J Vasc Surg. 1988;8(5):569–75.

    Article  PubMed  CAS  Google Scholar 

  12. Akesson H, Risberg B, Bjorgell O. External support valvuloplasty in the treatment of chronic deep vein incompetence of the legs. Int Angiol. 1999;18(3):233–8.

    PubMed  CAS  Google Scholar 

  13. Gloviczki P, Merrell SW, Bower TC. Femoral vein valve repair under direct vision without venotomy: a modified technique with use of angioscopy. J Vasc Surg. 1991;14:645–8.

    Article  PubMed  CAS  Google Scholar 

  14. Raju S, Berry MA, Neglen P. Transcommissural valvuloplasty; technique and results. J Vasc Surg. 2000;32:969–76.

    Article  PubMed  CAS  Google Scholar 

  15. Bry JDL, Muto PA, O’Donnel TF, Isaacson LA. Clinical and hemodynamic results after axillary- to- popliteal vein valve transplant. J Vasc Surg. 1995;21:110–9.

    Article  PubMed  CAS  Google Scholar 

  16. Neglen P, Raju S. Venous reflux repair with cryopreserved vein valves. J Vasc Surg. 2003;37:552–7.

    Article  PubMed  Google Scholar 

  17. Dalsing MC. Artificial venous valves. In: Gloviczki P, editor. Handbook of venous disorders; guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 483–90.

    Google Scholar 

  18. Dalsing MC, Lalka SG, Unthank JC, Grieshop RJ, Nixon C, Davis T. Venous valvular insufficiency: influence of a single venous valve (native and experimental). J Vasc Surg. 1991;14:576–87.

    Article  PubMed  CAS  Google Scholar 

  19. Teebken OE, Puschmann C, Aper T, Haverich A, Mertsching H. Tissue engineered bioprosthetic venous valve: a long term study in sheep. Eur J Vasc Endovasc Surg. 2003;25:305–12.

    Article  PubMed  CAS  Google Scholar 

  20. Raju S, Hardy JD. Technical options in venous valve reconstruction. Am J Surg. 1997;173:301–7.

    Article  PubMed  CAS  Google Scholar 

  21. Plagnol P, Ciostek P, Prokopowicz SC. Autogenous valve reconstruction technique in post thrombotic reflux. Ann Vasc Surg. 1999;13:339–42.

    Article  PubMed  CAS  Google Scholar 

  22. Lugli M, Guerzoni S, Garofalo M, Smedile G, Maleti O. Neovalve construction in deep venous incompetence. J Vasc Surg. 2009;49:156–62.

    Article  PubMed  Google Scholar 

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Correspondence to Subramoniam Vaidyanathan .

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Vaidyanathan, S. (2015). Deep Vein Valve Reconstruction. In: Chronic Venous Disorders of the Lower Limbs. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1991-0_18

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  • DOI: https://doi.org/10.1007/978-81-322-1991-0_18

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  • Print ISBN: 978-81-322-1990-3

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