Long-term Patency of Venous Repairs Demonstrated by Venography

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Abstract
Indications for venous reconstruction after traumatic injury are controversial, partly because of uncertainty of continued patency. No reports were found in the literature of truly long-term results after venous reconstruction. For clarification of this issue, femoral venous injuries were reviewed in a civilian metropolital population over a 20-yr period. There were 31 patients with penetrating femoral venous injuries. Twenty-four patients underwent reconstruction. A search for these patients years after reconstruction located only 5 patients with 6 reconstructions. Follow-up venography at 6-20 yr demonstrated venous patency and functional valves with asymptomatic patients and no clinical evidence of venous insufficiency in all cases excluding a single repair with a Teflon graft. This study supports reconstruction rather than ligation after venous trauma. Although small, this series appear to be the only known report of truly long-term results following venous reconstruction.

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