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A Journal on Heart and Vascular Diseases
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
National Meeting of Angiology XXVIII SIAPAV National Congress
Rome, November 15-18, 2006
Minerva Cardioangiologica 2006 December;54(6):803-6
Is there still a place for the correction of chronic venous insufficiency of the lower limbs by valvuloplasty?
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.