Long‐term comparison of external valvular stenting and stripping of varicose veins

Lane, Rodney J.; Graiche, Joseph A.; Coroneos, John Christopher; Cuzzilla, Michael Luciano

doi:10.1046/j.1445-2197.2003.02714.x

Cited by 18 publications

(6 citation statements)

References 10 publications

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“…A prospective controlled trial of patients with earlier disease who had cusp preservation showed longterm results at least as good as the ablative procedure. 12,14…”

Section: Discussionmentioning

confidence: 99%

“…The aims of this communication are to compare the effect of pregnancy on varicose veins and their recurrence compared with a non-pregnant control group. 12 Further to this, to report the incidence of recurrence and reversal of truncal dilatation with stent repair, to define the effect of ovarian vein incompetence and to highlight the differing anatomical distribution of post-pregnant recurrent varicose veins which suggests a physiological form of treatment related to the special reversible effects of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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The effect of pregnancy on venous valve repair to the sapheno-femoral junction for varicose veins

et al. 2014

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“…A prospective controlled trial of patients with earlier disease who had cusp preservation showed longterm results at least as good as the ablative procedure. 12,14…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of pregnancy on venous valve repair to the sapheno-femoral junction for varicose veins

et al. 2014

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“…In comparison with the conventional external valvuloplasty techniques, the V-OSES operation entails a new and unique approach. We gained extensive experience with the conventional external banding/wrapping techniques, 6,7 as well as the SFJ plication, 8 which are narrowing techniques, thus involving the opposite of the stretching technique. However all of these techniques aim to reduce the vessel area with cusp bundling and implicitly unpredictable erratic or uncertain cusp apposition.…”

Section: Discussionmentioning

confidence: 99%

The sapheno-femoral junction valvuloplasty in the post-thrombotic syndrome: a proposal with the use of a new device

Camilli¹,

Camilli²

2014

Veins and Lymphatics

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Before developing deep venous thrombosis (DVT), most patients suffering from postthrombotic syndrome (PTS) have a normal great saphenous vein (GSV). After DVT, the GSV plays a vicarious function, but many patients develop secondary varicose veins (VVs) and the previous positive contribution of the GSV vanishes. In these cases the ablative strategy is generally implemented with positive results in the short-term, but commonly with late varicose recurrences. In two cases the authors preferred a different approach to preserve and recover the GSV vicarious function by sapheno-femoral junction (SFJ) valvuloplasty. Out of 43 cases we treated with SFJ stretching valvuloplasty performed with the new OSES device (V-OSES), we proposed this operation to two patients (A and B) suffering from PTS and secondary VVs at an early stage, classified as C3 and C4 (Clinical-Etiology-Anatomy-Pathophysiology classification, CEAP). In the V-OSES operation a gentle stretching force is applied onto the apex of the opposite valve commisures so that the valve cross-section becomes oval and the cusp's length excess is retrieved. The operation was performed on the SFJ valve having incompetent, but floating cusps visible on ultrasound (US) scan. This reparative technique was undertaken under local anesthesia and was combined with disconnection of the incompetent tributaries and/or perforators. The US-duplex scanning showed that the SFJ valves were competent at month 16 (B) and 20 (A) follow-up after surgery and the GSV vicarious function was preserved. The stretching valvuloplasty operation is intended to repair the SFJ valve incompetence and preserve the GSV vicarious function. This approach may be useful in primary VVs, but especially in PTS when superficial reflux appears and secondary VVs are at early stage. The SFJ reparative operation may be combined with the conventional GSV conservative strategies, including incompetent tributaries ablation/disconnection. This approach does not seem to have been already reported in the literature and needs further confirmation.

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“…There is another group of vein-sparing studies in the literature in which reflux at the saphenofemoral transition was intended to be prevented using different materials such as ESV (external valvular support), the Venocuff, polytetrafluoroethylene grafts, or stents. [17][18][19][20][21] However, when these operations were compared with the Res at operation, they did not fulfill all of the components of the Res at operation. In those operations, the surgical area basically comprised the tube part of the GSV, which is very close to saphenofemoral transition but does not consist of a true transition zone.…”

Section: Augmentation Of the Competent Coaptation (Cc)mentioning

confidence: 99%

Repair of Saphenofemoral Transition: Reşat Operation for Patients With Venous Reflux

Alat

2018

International Surgery

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Objective: To develop a new solution superior to the current surgical interventions in patients with venous reflux in the great saphenous vein (GSV). Materials and Methods: Patients with the symptoms of venous incompetence in their legs like pain, edema, and cramp were also examined with color Doppler ultrasonography (CDU). One hundred ninety-one extremities with venous reflux at the saphenofemoral transition (SFT) were subjected to surgery over 8 years. A newly designed operation, the Res at operation, was performed in all of the patients. The Res at Operation was performed only in the patients with continuous reflux at their saphenofemoral transition during the entire Valsalva maneuver. The follow-up time spanned more than 8 years. The patients' complaints, physical examinations, and CDU findings were evaluated. Results: All of the patients had continuous reflux at the SFT for the duration of the entire Valsalva maneuver preoperatively. However, 67.88% of the patients had no reflux postoperatively (P , 0.001). Additionally, 95.76% of the patients recovered to different degrees in the early postoperative period ultrasonographically (P , 0.001). All of the patients reported being satisfied with the result in the early postoperative period (P , 0.001). In the late postoperative period, although the CDU reports of some patients showed reflux at the GSV, no patient complained about their condition. Conclusion: The Res at operation is a well-tolerated operation and reconstitutes the saphenofemoral transitions successfully. Its early and late postoperative results are satisfactory. The Res at operation should be the first-choice surgical treatment in patients with venous reflux at the saphenofemoral transition.

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Long‐term comparison of external valvular stenting and stripping of varicose veins

Abstract: If a valve repair is possible at the saphenofemoral junction, then it should be the preferred treatment option.

Cited by 18 publications

References 10 publications

The effect of pregnancy on venous valve repair to the sapheno-femoral junction for varicose veins

The effect of pregnancy on venous valve repair to the sapheno-femoral junction for varicose veins

The sapheno-femoral junction valvuloplasty in the post-thrombotic syndrome: a proposal with the use of a new device

Repair of Saphenofemoral Transition: Reşat Operation for Patients With Venous Reflux

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