Endoscopically directed external support of femoral vein valves

Makhatilov, Gadzhi; Askerkhanov, Gamid; Kazakmurzaev, Medjid Arsenovich; Ismailov, Ismail

doi:10.1016/j.jvs.2008.09.070

Cited by 8 publications

(4 citation statements)

References 11 publications

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“…Long-term ulcer healing has been reported in about 50% of patients with one valve repair, and improved long-term results have been reported with multiple reconstructions. [378][379][380][381] External valvuloplasty results vary by technique, with the advocates of the "commissural repair" reporting a competency rate of w60% and freedom from ulcer recurrence rate of w70% at 3 years. 382 Others have reported lower competency (down to 32%) and ulcer-free rates (down to 50%) at 2 years.…”

Section: Level Of Evidence -C]mentioning

confidence: 99%

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

O’Donnell¹,

Passman²,

Marston³

et al. 2014

Journal of Vascular Surgery

570

450

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Section: Level Of Evidence -C]mentioning

confidence: 99%

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

O’Donnell¹,

Passman²,

Marston³

et al. 2014

Journal of Vascular Surgery

570

450

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“…determined competency in 91.6% of femoral vein valves administered endoscopic external support. 9 However, although they stated that symptom severity decreased in their patients, they did not demonstrate this objectively. Wang et al.…”

Section: Discussionmentioning

confidence: 88%

Internal compression therapy, a novel method in the treatment of deep venous insufficiency: 18-month clinical results

et al. 2020

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Objective To present 18-month clinical results for internal compression therapy (ICT) applied percutaneously and as a novel method in the treatment of primary deep venous insufficiency. Material and Method Thirty patients diagnosed with isolated primary femoral vein (FV) insufficiency between October 2017 and February 2018 were included in the study. Pre-procedural femoral vein diameters and reflux durations were measured. CEAP classification and Venous Clinical Severity Score (VCSS) were recorded. Pre-procedural CEAP classifications were CEAP 4 in nine patients and CEAP 3 in 21. Quality of life assessments were carried out using a Chronic Venous Insufficiency Questionnaire (CIVIQ-2). FV diameters were then reduced, and valve coaptation was established with the percutaneous application of hyaluronic acid and cyanoacrylate injected adjacent to a valve with non coapting leaflets. Venous diameters and reflux duration were again measured immediately after the procedure. Patients were followed-up at months 1, 6, and 18, at which times all parameters were re-evaluated. Results Eighteen of the 30 patients were women, and 12 were men. The mean duration of the procedure was 22.7 ± 2.9 (20–30) min. Patients’ FV diameters were 12.8 (11–14.7) mm before the procedure, 9.9 (9–11.5) mm immediately after, and also 9.9 (9–11.2) mm after 1.5 years (p < 0.001). Pre-procedural reflux duration ranged between 2 and 6 (median: 3) sec, and no reflux was observed in any patient immediately or one month after the procedure (p < 0.001). At 18-month follow-up, reflux lasting only 1 sec was determined in two patients. VCSS scores were 11 (10–12) pre-procedurally and 6 (4–9) at 18 months (p < 0.001). Venous Quality of Life scores were 32 (30–36) before the procedure and 18 (14–24) at 18 months (p < 0.001). Conclusion Preliminary investigation of the injection of cyanoacrylate and hyaluronic acid around one valve in an incompetent FV can result in improved hemodynamics, CEAP, VCSS and patient QOL at 18 months, without complications.

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“…In the study of Saraç et al, symptomatic improvement was detected in 51 patients (61.4%) in the 2-year results of surgical external valvuloplasty (EVP) on 83 patients with isolated saphenous vein insufficiency, but no improvement was observed in the remaining 32 patients and additional procedures were performed (7). Makhatilov and et al found that 91.6% of the valves were competent in the femoral veins where they endoscopically applied external support (8). However, they also said that the severity of symptoms decreased in their patients, although they did not objectively show this.…”

Section: Discussionmentioning

confidence: 95%

Yüzeyel Venöz Yetmezli̇k Tedavi̇si̇nde Yeni̇ Bi̇r Yöntem Olarak; Ven Restorasyon Tedavi̇si̇

Eroğlu

Acipayam

2020

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Amaç: Primer safen ven yetersizliğin tedavisinde yeni bir yöntem olan ve perkütan uygulanan Ven restorasyon Tedavisinin (VRT) 1 aylık klinik sonuçlarını sunmak. Materyal ve Metod: Kasım 2019 - Aralık 2019 tarihleri arasında izole primer safen ven yetersizliği tanısı konulan 12 hasta çalışmaya dahil edildi. Hastaların işlem öncesi safen ven bileşke ve dizüstü çapları ve reflü süreleri ölçüldü. CEAP klasifikasyonu ve Venöz klinik şiddet skorları (VCSS) kaydedildi. Ayrıca venöz hayat kalite skorları (VQOL) da kaydedildi. Ardından hastaların safen venlerinin anterior ve posterioruna perkütan olarak VRT uygulanarak safen ven çapları daraltıldı ve kapak koaptasyonu sağlandı. İşlem sonrası tekrar ven çapları ve reflü süreleri ölçüldü. Hastalar 1. ayda kontrole çağrılarak bütün parametreler tekrar değerlendirildi.. Bulgular: 12 hastanın 8’i kadın, 4’ü erkekti. Ortalama işlem süresi 15.1±2.9 dakika idi. Hastaların işlem öncesi safen ven çapları safenofemoral bileşke düzeyinde ortalama 7,6 mm, dizüstünde 6.7mm iken, hemen işlem sonrası bileşke düzeyinde 5.2mm, dizüstünde ortalama 6,6 mm, 1 ay sonra da yine bileşke düzeyinde ortalama 5.1 mm ve dizüstünde oratalama 4.9 mm olarak ölçüldü (p<0.001). İşlem öncesi reflü süresi 4-6 saniye arasında değişirken işlem sonrası hemen ve 1. ayda hiçbir hastada reflü izlenmedi (p<0.001). VCSS skoru işlem öncesi ortalam 10 iken 1. ayda ayda 8 bulundu (p<0.001). Venous Quality of Life skoru ise işlem öncesi 28 iken 1. ayda 22 olarak tespit edildi(p<0.001). Sonuç: Primer safen ven yetersizliğinin tedavisinde VRT uygulaması 1 aylık takip sonuçları oldukça başarılı ve tatmin edici olup uzun dönem sonuçları için daha fazla hasta sayılı randomize kontrollü klinik çalışmalara ihtiyaç vardır.

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Endoscopically directed external support of femoral vein valves

Cited by 8 publications

References 11 publications

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

Internal compression therapy, a novel method in the treatment of deep venous insufficiency: 18-month clinical results

Yüzeyel Venöz Yetmezli̇k Tedavi̇si̇nde Yeni̇ Bi̇r Yöntem Olarak; Ven Restorasyon Tedavi̇si̇

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