Deep Vein Valvular Incompetence: Options for Reconstruction

Bridget M. Sanders, Michael Dalsing

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Some degree of lower limb chronic venous insufficiency (CVI) affects over 30 million Americans. Varicosities have been recognized since 1500 B.C.; however, an accurate diagnosis of the variety of lower limb venous diseases and their treatment has made steady headway only in the recent past. Superficial and perforator insufficiency can be eliminated by a multitude of extirpative techniques. CVI due to advanced deep venous abnormalities is more problematic. Surgical intervention has become an option for end-stage patients who have failed conservative medical therapy Direct in situ valve repairs are possible by a variety of methods. Secondary causes of valve damage can be corrected by transposition or transplant techniques. Many of these deep venous reconstructions can be supported by long-term data not available even 20 years ago. A quest for valve substitutes for patients with no native valves available for transplantation continues. Yet long-term follow-up with a precise gradation of improvement in signs, symptoms, and diagnostic studies is essential for continued growth in the field of deep venous reconstructions.

Original languageEnglish (US)
Pages (from-to)89-106
Number of pages18
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume14
Issue number1
DOIs
StatePublished - 2001

Keywords

  • Chronic venous insufficiency
  • deep venous disease
  • venous surgery

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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