Use of Ipsilateral Greater Saphenous Vein as a Valved Transplant in Management of Post-Thrombotic Deep Venous Insufficiency: Long-Term Results

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

“…In the select cohort of patients who are amenable to this intervention, a 40% to 50% competency rate with similar freedom from ulcer recurrence has been reported in a number of case series reports at 5 years of follow-up (Table XI). 376,391,395,[399][400][401][402][403][404][405] Venous valve transplantation involves harvesting of a competent segment of vein that contains a competent valve from another extremity and implanting it into the femoral or popliteal position to provide a functioning valve in the affected extremity. Adjunctive use of endophlebectomy and the need for an arteriovenous fistula to increase flow through the reconstruction sites are additional considerations.…”

A Percutaneous Approach to Deep Venous Valve Insufficiency with a New Self-Expanding Venous Frame Valve

“…Different strategies for replacement of the valve or construction of a new valve have been proposed for patients with post-thrombotic DVI. 9,[17][18][19][20] Venous valve transplantation has been successful in correcting reflux and improving calf pump function in the shortterm 21 ; however, the late results of valve transplantation in patients with post-thrombotic DVI are inferior to those obtained by valvuloplasty in patients with primary valvular incompetence. 22 Recurrent dilatation with subsequent incompetence and thrombosis account for the majority of late failures.…”

“…Autogenous reconstructions have been preferred by most surgeons and include not only primary valve repair but also valve transposition and transplantation. [9][10][11] These procedures appear to be effective, but are limited by the eventual degeneration of the transplanted valves or by inadequate donor valves. Also, many patients with a history of recurrent thrombosis have no valves to reconstruct or transfer.…”

Modalities to Treat Venous Ulcers: Compression, Surgery, and Bioengineered Tissue

“…[50][51][52][53] Comparative RCTs are lacking and the current quality of evidence is low. [50][51][52][53] Comparative RCTs are lacking and the current quality of evidence is low.…”