Document Detail


Surgical treatment of postphlebitic syndrome with vein valve transplant.
MedLine Citation:
PMID:  7102929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sequelae of the postphlebitic syndrome can new be treated by direct valve surgery. The present surgical treatment of stasis ulcer, including removal of the incompetent perforators, ulcer excision, and skin grafting, remains essential. Excision of perforators and ulcer care are effective but are associated with a high rate of ulcer recurrence. Experimental studies to restore venous valve function include autogenous or homologous vein valve transplantation, valvuloplasty, and valve transposition. In 23 cases of vein valve transplantation and two transpositions, a normal autogenous vein valve from the arm was used to restore a normal functioning venous valve in the leg. Pre- and postoperative noninvasive and invasive testing indicates hemodynamic improvement of venous function in these legs. Follow-up direct venous pressure measurements did not show normalization and may indicate that more than one competent valve is necessary. Changes in muscle structure may play a role in the maintenance of venous pressure.
Authors:
S A Taheri; L Lazar; S Elias; P Marchand; R Heffner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  144     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1982 Aug 
Date Detail:
Created Date:  1982-09-17     Completed Date:  1982-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  221-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Femoral Vein / surgery
Humans
Leg / blood supply*
Male
Middle Aged
Thrombophlebitis / complications
Veins / transplantation*
Venous Insufficiency / surgery*
Venous Pressure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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