Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 1999 August;40(4) > The Journal of Cardiovascular Surgery 1999 August;40(4):567-70





A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632




The Journal of Cardiovascular Surgery 1999 August;40(4):567-70

language: English

Venous hemo­dy­nam­ic chang­es after exter­nal band­ing val­vu­lo­plas­ty ­with varic­o­sec­to­my in the treat­ment of pri­mary var­i­cose ­veins

Ik Kim D., Boong Lee B., Ber­gan J. J.*

From the Division of Vascular Surgery Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea
* Clinical Prof., Univ. Calif., San Diego, USA


Background. To eval­u­ate ­venous hemo­dy­nam­ic chang­es after an exter­nal band­ing val­vu­lo­plas­ty in the treat­ment of pri­mary var­i­cose ­veins ­with saph­e­nof­e­mo­ral incom­pe­tence.
Methods. From June 1996 to December 1997, 79 ­limbs (10 ­male and 69 ­female, age 20-57 ­years) ­were treat­ed for pri­mary saph­e­nof­e­mo­ral incom­pe­tence by exter­nal band­ing val­vu­lo­plas­ty. Tightening of the band­ing was accom­plished ­using a poly­es­ter-tail­ored ­mesh to nar­row the ter­mi­nal and/or sub­ter­mi­nal ­valve are­as of the dilat­ed great­er saph­e­nous ­vein (GSV), ­same ­size as its min­i­mum diam­e­ter dur­ing ­spasm. Evaluation was ­done ­through a pre- and post­op­er­a­tive col­or-­flow ­duplex scan­ning and an air-ple­thys­mog­ra­phy (APG).
Results. Sixty-­three ­limbs (79.7%) ­remained pat­ent and ­were com­pe­tent. Fourteen ­limbs (17.7%) ­remained pat­ent but ­showed ­reflux. Two ­limbs (2.5%) had throm­bus with­in the GSV ­after sur­gery. The diam­e­ter of GSV of mid-­thigh was 6.7±1.6 mm preoper­a­tive­ly and 4.1±0.9 mm ­postoper­a­tive­ly (p-val­ue=7.04E-10). Reduction of the diam­e­ter was 61.4±12.3%. Venous vol­ume was 136.1±59.8 ml preoper­a­tive­ly and 103.5±39.8 ml ­post- oper­a­tive­ly (p-val­ue=1.6E-20). Reduction ­of the ­venous vol­ume was 12.9±17.0%. Venous fill­ing ­index (VFI) was 6.6+11.3 ml/sec preoper­a­tive­ly and 1.9±3.3 ml/sec ­post- oper­a­tive­ly (p-val­ue=1.2E-10). Reduction of the VFI was 55.0±29.1%. Ejection frac­tion (EF) was 48.9±13.8% pre­op­er­a­tive­ly and 60.1±17.2% ­postoper­a­tive­ly (p-va-lue=2.6E-17). Increase of EF was 29.4±43.5%. The resid­u­al vol­ume frac­tion (RVF) was 42.1±13.9% preoper­a­tive­ly and 30.2±14.5% ­postoper­a­tive­ly (p-val­ue=5.6E-19). Reduction of RVF was 17.6±43.6%.
Conclusions. Early eval­u­a­tion of saph­e­nof­e­mo­ral exter­nal band­ing val­vu­lo­plas­ty con­firms the sat­is­fac­to­ry paten­cy and improve­ment in ­venous hemo­dy­nam­ics. Long-­term eval­u­a­tion is clear­ly indi­cat­ed but the ear­ly safe­ty and effi­ca­cy of the pro­ce­dure ­have ­been con­firmed.

top of page

Publication History

Cite this article as

Corresponding author e-mail