Intermediate-term results of angioscopy-assisted anterior valve sinus plication for primary deep venous insufficiency

T. Nishibe, F. Kudo, K. Miyazaki, Y. Kondo, J. Koizumi, A. Dardik, M. Nishibe, J. Kokotsakis

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Abstract

Aim. The intermediate-term efficacy of angioscopy-assisted anterior valve sinus plication for primary deep venous insufficiency was evaluated. Methods. Twelve limbs in 11 patients had class 4 or higher disease on the SVS/ISCVS classification. Descending venography revealed grade-3 or 4-reflux in all limbs. The limbs were treated with angioscopy-assisted anterior valve sinus plication of the highest valve of the superficial femoral vein. Clinical evaluation and air plethysmography were performed at the final follow-up. Results. The mean follow-up was 38.4 months with a range of 24 to 48 months. Postoperative descending venography revealed significant improvement of the reflux of the superficial femoral vein. At the final follow-up, all patients reported relief of subjective symptoms. The ulcers healed and did not recur in the single limb with class-6 disease, the ulcers did not recur in four class-5 limbs, and there was a distinct clinical improvement with resolution of skin changes in the seven class-4 limbs. The venous filling index measured by air plethysmography was in a normal range in 8 of the 12 limbs. Conclusions. Angioscopy-assisted anterior valve sinus plication may be a surgical technique that results in intermediate-term clinical and hemodynamic improvement in patients with primary deep venous insufficiency.

Original languageEnglish
Pages (from-to)21-25
Number of pages5
JournalJournal of Cardiovascular Surgery
Volume48
Issue number1
Publication statusPublished - 01-02-2007

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Nishibe, T., Kudo, F., Miyazaki, K., Kondo, Y., Koizumi, J., Dardik, A., Nishibe, M., & Kokotsakis, J. (2007). Intermediate-term results of angioscopy-assisted anterior valve sinus plication for primary deep venous insufficiency. Journal of Cardiovascular Surgery, 48(1), 21-25.