Abstract:These results indicate that a highly selected subgroup of patients with severe symptomatic post-thrombotic syndrome secondary to chronic segmental obstruction of the femoral vein do well after the May-Husni procedure. In order to refine the criteria for the selection of patients who may benefit from this operation, there is a need for more studies that use a combination of hemodynamic and validated scales that diagnose and grade the severity of post-thrombotic syndrome.
“…The authors assess the technique as ''satisfying and reliable.'' 35 A very recent publication by Shaydakov et al 36 reports similar results in a case study with 12 patients.…”
Section: Saphenopopliteal Bypassmentioning
confidence: 59%
“…The authors assess the technique as “satisfying and reliable.” 35 A very recent publication by Shaydakov et al. 36 reports similar results in a case study with 12 patients. Figure 5.Sapheno-popliteal-femoralis bypass: the venous outflow of the lower leg takes place via the GSV to bypass the long-segment occlusion of the Vena femoralis (Husni 31 ).…”
Section: Examples Of Venous Bypass Graftingmentioning
The postthrombotic syndrome counts as a frequent long-term complication after deep vein thrombosis with approximately 20%-50% of affected patients after deep vein thrombosis. The earliest that diagnosis of postthrombotic syndrome can be made is 6 months after deep vein thrombosis. Most patients suffer from swelling and chronic pain. In all, 5%-10% of patients may even develop venous ulcers. The complex etiology consists of limited venous drainage because of chronic occlusions and secondary insufficiencies of venous valves inducing non-physiological venous reflux. Conservative management, first of all compression therapy, is of crucial importance in treatment of postthrombotic syndrome. Endovascular and open surgical techniques can additionally be used in a small subgroup of patients. Although rarely performed, this article illuminates the open surgical techniques in treatment of postthrombotic syndrome such as venous bypass surgery, valve repair and varicose vein surgery.
“…The authors assess the technique as ''satisfying and reliable.'' 35 A very recent publication by Shaydakov et al 36 reports similar results in a case study with 12 patients.…”
Section: Saphenopopliteal Bypassmentioning
confidence: 59%
“…The authors assess the technique as “satisfying and reliable.” 35 A very recent publication by Shaydakov et al. 36 reports similar results in a case study with 12 patients. Figure 5.Sapheno-popliteal-femoralis bypass: the venous outflow of the lower leg takes place via the GSV to bypass the long-segment occlusion of the Vena femoralis (Husni 31 ).…”
Section: Examples Of Venous Bypass Graftingmentioning
The postthrombotic syndrome counts as a frequent long-term complication after deep vein thrombosis with approximately 20%-50% of affected patients after deep vein thrombosis. The earliest that diagnosis of postthrombotic syndrome can be made is 6 months after deep vein thrombosis. Most patients suffer from swelling and chronic pain. In all, 5%-10% of patients may even develop venous ulcers. The complex etiology consists of limited venous drainage because of chronic occlusions and secondary insufficiencies of venous valves inducing non-physiological venous reflux. Conservative management, first of all compression therapy, is of crucial importance in treatment of postthrombotic syndrome. Endovascular and open surgical techniques can additionally be used in a small subgroup of patients. Although rarely performed, this article illuminates the open surgical techniques in treatment of postthrombotic syndrome such as venous bypass surgery, valve repair and varicose vein surgery.
“…The only operation described in any detail is the May-Husni procedure, which is designed to relieve unilateral FV outflow obstruction by ipsilateral saphenous vein transposition to the distal FV or POPV. 387 In many cases, this may also include some form of endophlebectomy of the POPV. Obstruction is relieved by rerouting blood flow through the GSV, which subsequently drains the calf.…”
Section: Treatment Of Chronic Deep Venous Obstructionmentioning
“…There is no relevant literature examining the efficacy of surgical thrombectomy compared with control groups in prospective randomized trials. Observational case series demonstrating symptomatic improvement after surgical endovenectomy with iliac vein stenting [38,39], and with saphenofemoral venous bypass [40], have been described.…”
Section: Surgical Thrombectomy Techniques Although the Society Of Vascular Surgery Guidelines Recommend Catheterbased Therapies Over Openmentioning
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
