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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 1998 December;17(4):268-71


lingua: Inglese

External banding valvuloplasty of the superficial femoral vein in the treatment of recurrent varicose veins

Guarnera G., Furgiuele S., Mascellari L., Bianchini G., Camilli S.

From the Department of Vascular Surgery, Istituto Dermopatico dell’Immacolata, Rome, Italy


Objectives. The aim of this study is to eval­u­ate the effi­ca­cy of recon­struc­tive sur­gery of pri­mary deep ­venous insuf­fi­cien­cy in pre­vent­ing recur­rent var­i­cose veins.
Design. Retrospective anal­y­sis of ­patients affect­ed by recur­rent var­i­cose veins sub­mit­ted to exter­nal band­ing val­vu­lo­plas­ty of the super­fi­cial femo­ral vein.
Setting. A divi­sion of vas­cu­lar sur­gery in a hos­pi­tal/sci­en­tif­ic insti­tute.
Materials. Nineteen limbs (19 ­patients) with recur­rent var­i­cose veins, ­severe chron­ic ­venous insuf­fi­cien­cy and 3rd or 4th grade ­reflux in the super­fi­cial femo­ral vein and com­pe­tence of the pro­fun­da fem­or­is vein were select­ed for sur­gi­cal recon­struc­tive treat­ment after a com­plete diag­nos­tic study by con­tin­u­ous wave Doppler ­duplex scan­ning and descend­ing phle­bog­ra­phy.
Interventions. External band­ing val­vu­lo­plas­ty of the super­fi­cial femo­ral vein was per­formed in all cases: A Dac­ron ­sleeve was used in nine ­patients and Venocuff in 10.
Results. In one case a deep ­venous throm­bo­sis of the calf ­occurred in the first post­op­er­a­tive peri­od; in three cases the cor­rec­tion of the deep ­reflux was incom­plete and a recur­rence of the varic­es was ­observed. After a mean fol­low-up of 50 ­months, abo­li­tion of ­reflux and ­relief of symp­tom­a­tol­o­gy were ­obtained in 15 cases (78%).
Conclusions. Primary deep ­venous insuf­fi­cien­cy, ­unknown at the time of the ­initial oper­a­tion, may be the cause of recur­rent var­i­cose veins. External band­ing val­vu­lo­plas­ty of the super­fi­cial femo­ral vein may abol­ish the ­reflux and cor­rect ­venous hyper­ten­sion, pre­vent­ing recur­renc­es.

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