SURGICAL-CORRECTION OF CHRONIC DEEP VENOUS INSUFFICIENCY BY VALVULAR TRANSPOSITION

  • 1 January 1980
    • journal article
    • research article
    • Vol. 87  (6) , 688-695
Abstract
Twelve limbs in 9 patients undergoing venous valve transposition in treatment of severe chronic deep venous insufficiency are the subject of this report. Hemodynamic measurements including venous pressure studies, photoplethysmography, directional venous Doppler assessment and impedance plethysmography were done pre- and postoperatively in each case, as was ascending and descending venography. The surgical technique is described in detail and diagrams illustrate general features of the reconstruction. A functioning valve in the deep venous system of the lower extremity may reverse pre-operative pathophysiology. This operation may have great promise in the field of the direct venous reconstruction.

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