Total amount: € 0,00
Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,752
Online ISSN 1827-1618
National Meeting of Angiology XXVIII SIAPAV National Congress
Rome, November 15-18, 2006
Scuola di Specializzazione in Chirurgia Vascolare Università degli Studi di Udine Cattedra di Chirurgia Generale, Udine
Aim. Various surgical procedures, extravenous (VPE) and intravenous (VPI) valvuloplasties were described for the treatment of superficial (IVCS) and deep (IVCP) chronic venous insufficiency.
Methods. In 18 years: 153 VPE in limbs affected with IVCS. 9 VPE, 26 VPI (10 typical, 8 atypical, 8 autologous) and 38 other procedures in 74 limbs with IVCP selected and controlled by US (hemodynamic improvement or normalization =MNE) and X-ray (5 VPI).
Results. IVCS: 153 VPE=8,2% of the general causistry;: MNE 90,2% (mean follow-up. 5 y,4 m.); stable at 10 y 68%; best results in IVCS <20y. (Chi-sq.P=0.05).
IVCP: VPE=12,3% and VPI=35,6% of the interventions; 9 VPE: MNE 88,8%; 26 VPI: MNE 81,4%; hemodynamic normalization by VPE-VPI (n.7/27=25,9%) (mean follw-up.7 y.,8 m.).
Conclusions. VPE: indicated in selected cases with IVCS and IVCP. In IVCP VPE-VPI are preferable than other procedures. Atypical and autologous VPI represent a technical progress in valveless syndromes.