Venous valve repair: Early results in fifty-two cases

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Presentation transcript:

Venous valve repair: Early results in fifty-two cases T.R. Cheatle, MCh, FRCSI, M. Perrin, MD Journal of Vascular Surgery Volume 19, Issue 3, Pages 404-413 (March 1994) DOI: 10.1016/S0741-5214(94)70067-2 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Incompetence of superficial and profunda femoral vein shown by descending phlebography. Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Reflux below knee and into muscular veins of calf (stage IV Kistner classification 16). Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 A, Supravalvular T-shaped phlebotomy is made. Transverse cut is made first and occupies about half circumference of vein. Length of vertical limb is variable, approximately 2 to 4 cm. B, Stay sutures allow valvular apparatus to be seen. C, Double-ended 7-0 Prolene suture is passed through both cusps at level of commissure (top) and then through vein wall from inside to outside. Other needle performs same maneuver in opposite direction, knot being tied outside vein (bottom). D, Second suture is placed in same manner slightly closer to center of valve. Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Restoration of competence after superficial femoral venous valvuloplasty, shown by descending phlebography. Patency is demonstrated by ascending phlebography on first postoperative day. Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Photoplethysmographic (PPG) refilling times in seconds, before and after valvuloplasty, in 42 limbs. To reduce overlap, each graph shows group of 10 or, as in last graph, 12 limbs. Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Photoplethysmographic (PPG) refilling times in seconds, before and after valvuloplasty, in 42 limbs. To reduce overlap, each graph shows group of 10 or, as in last graph, 12 limbs. Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Photoplethysmographic (PPG) refilling times in seconds, before and after valvuloplasty, in 42 limbs. To reduce overlap, each graph shows group of 10 or, as in last graph, 12 limbs. Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Photoplethysmographic (PPG) refilling times in seconds, before and after valvuloplasty, in 42 limbs. To reduce overlap, each graph shows group of 10 or, as in last graph, 12 limbs. Journal of Vascular Surgery 1994 19, 404-413DOI: (10.1016/S0741-5214(94)70067-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions