Reflux Elimination Without any Ablation or Disconnection of the Saphenous Vein. A Haemodynamic Model for Venous Surgery

Objectives to investigate the possibility of the haemodynamic suppression of reflux in the greater saphenous vein (GSV) without any high ligation and/or stripping procedure. Design prospective study; single group of patients. Materials forty patients affected by primary chronic venous insufficiency...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2001-04, Vol.21 (4), p.361-369
Main Authors: Zamboni, P., Cisno, C., Marchetti, F., Quaglio, D., Mazza, P., Liboni, A.
Format: Article
Language:English
Subjects:
Analysis of Variance
Chronic Disease
Duplex scanning
Female
Hemodynamics
Humans
Male
Middle Aged
Prospective Studies
Reflux
Saphenous vein
Saphenous Vein - surgery
Treatment Outcome
Ultrasonography, Doppler
Varicose veins surgery
Venous haemodynamics
Venous insufficiency
Venous Insufficiency - complications
Venous Insufficiency - diagnostic imaging
Venous Insufficiency - physiopathology
Venous Insufficiency - surgery
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Summary:Objectives to investigate the possibility of the haemodynamic suppression of reflux in the greater saphenous vein (GSV) without any high ligation and/or stripping procedure. Design prospective study; single group of patients. Materials forty patients affected by primary chronic venous insufficiency of all clinical classes, with demonstrated duplex incompetence both of the sapheno–femoral junction (SFJ) and the GSV trunk, with the re-entry perforator located on a GSV tributary. The re-entry point was defined as the perforator, whose finger compression of the superficial vein above its opening eliminates reflux in the GSV. Methods air–plethysmographic parameters as well as duplex scanning were performed both preoperatively, and 1 and 6 months later, respectively. Operation consisted in flush ligation and division from the GSV of the tributary containing the re-entry perforating vein. Results duplex investigation demonstrated both a forward flow and reflux disappearance in the GSV in 100% and 85% of the cases after 1 and 6 months, respectively. All air–plethysmographic parameters, with the exception of Ejection Fraction, improved significantly: Venous Volume changed from 150±9 ml to 114±7 ml (p
ISSN:1078-5884
1532-2165
DOI:10.1053/ejvs.2001.1338