External valvuloplasty – indications and results based on a case report

Summary

Frequently used treatment methods for great saphenous vein insufficiency e.g. endovenous or surgical therapy, result to a destruction or removal of the vein. There exist only several methods (e.g. ASVAL or CHIVA method or external valvuloplasty) which lead to a preservation of the great saphenous vein. In this case report we describe a patient who had a femoro-popliteal bypass surgery. The great saphenous vein of the contralateral leg, which was successfully treated by external valvuloplastiy 10 years ago, was uses as a homograft. Intraoperatively the vein did not show any pathological changes.

Keywords

Valvuloplasty - great saphenous vein - PAOD - vascular surgery

• Literatur

• 1 Mumme A, Stücker M, Hummel T.. Die extraluminale Vadlvuloplastie der Vena saphena magna.. Gefäßchirurgie: 2014: 637-642.
• 2 Hach, Mumme, Hach-Wunderle. Venenchirurgie, 3. Auflage. Stuttgart, Germany: Schattauer 2013.
• 3 Pittaluga P, Chastanet S.. Persistent incompetent truncal veins should not be treated immediately.. Phlebology 2015; 30 (Suppl. 01) 98-106.
• 4 Franceschi C. et al. CHIVA: hemodynamic concept, strategy and results.. Int Angiol 2016; 35 (01) 8-30.
• 5 Lane RJ, Cuzzilla ML, Coroneos JC.. The treatment of varicose veins with external stenting to the saphenofemoral junction.. Vasc Endovascular Surg. 2002; 36 (03) 179-92.
• 6 Lane RJ. et al. Recurrence rates following external valvular stenting of the saphenofemoral junction: a comparison with simultaneous contralateral stripping of the great saphenous vein.. Eur J Vasc Endovasc Surg 2007; 34 (05) 595-603 discussion 604.
• 7 Onida S, Davies AH.. CHIVA, ASVAL and related techniques--Concepts and evidence.. Phlebology 2015; 30 (Suppl. 02) 42-45.
• 8 Mühlberger D, Morandini L, Brenner E.. Venous valves and major superficial tributary veins near the saphenofemoral junction. J Vasc Surg 2009; 49 (06) 1562-1569.
• 9 Mühlberger D. et al. Die extraluminale Vadlvuloplastie. Phlebologie 2014; 43: 210-212.
• 10 Almasri J. et al. A systematic review and meta-analysis of revascularization outcomes of infrainguinal chronic limb-threatening ischemia.. J Vasc Surg. 2018
• 11 Sarac A. et al. Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency.. Clin Interv Aging 2014; 9 p. 575-9.
• 12 Joh JH. et al. External banding valvuloplasty for incompetence of the great saphenous vein: 10-year results.. Int J Angiol 2009; 18 (01) 25-28.