Surgical Technique for Deep Venous Reflux Suppression in Femoral Vein Duplication

Deep venous surgery is a challenging field with limited indications. Femoral vein duplication (FVD) is a frequent anatomical variant (55% prevalence). The aim was to describe a simple technique for managing deep venous reflux in FVD, when just one of the two segments exhibits deep venous reflux. The...

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Bibliographic Details
Published in:EJVES Short Reports 2016, Vol.30, p.10-12
Main Authors: Zamboni, P., Gianesini, S.
Format: Article
Language:English
Subjects:
Deep venous surgery
Post-thrombotic syndrome
Reflux
Technical Note
Venous anatomical variants
Venous leg ulcer
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Summary:Deep venous surgery is a challenging field with limited indications. Femoral vein duplication (FVD) is a frequent anatomical variant (55% prevalence). The aim was to describe a simple technique for managing deep venous reflux in FVD, when just one of the two segments exhibits deep venous reflux. The technique consists of closing the refluxing femoral branch with a titanium clip. In this way abolition of reflux along the duplicated vessel is achieved, together with the restoration of femoral vein drainage. The technique is feasible and associated with improvement in limb haemodynamics. Thanks to the high prevalence of FVD, the proposed technique provides an opportunity to treat a larger number of cases affected by primary or post-thrombotic deep venous reflux.
ISSN:2405-6553
2405-6553
DOI:10.1016/j.ejvssr.2016.01.001