Hemodynamics and Surgical Results of Chronic Venous Insufficiency with Skin Changes in the Lower Limbs / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
; : 290-294, 1996.
Article
in Japanese
| WPRIM (Western Pacific)
| ID: wpr-366239
Responsible library:
WPRO
ABSTRACT
Preoperative hemodynamics in the lower limbs in 174 limbs of 103 patients were measured and investigated and the surgical results were evaluated. The subjects were divided into the C<sub>4-6</sub>-group, which included 51 limbs with skin changes, and the C<sub>2, 3</sub>-group, which consisted of 123 limbs without skin changes. Plethysmography showed that the maximum venous outflow was significantly higher, and the refilling time was shorter in the C<sub>4-6</sub>-group compared to the C<sub>2, 3</sub>-group. All C<sub>4-6</sub>-group patients had reflux of the long saphenous vein, and the reflux velocity and volume was significantly greater than in the C<sub>2, 3</sub>-group. Limbs with deep vein reflux accounted for 45% of the C<sub>4-6</sub>-group. We performed angioscopic deep vein external valvuloplasty in 23 of those limbs. There was no case of reccurence of skin changes at a mean follow-up of 22 months. However chronic venous insufficiency often was associated with multisegmental reflux lesions and in such cases it might be necessary to perform multiple surgical procedures to eliminate the reflux.
Full text:
Available
Database:
WPRIM (Western Pacific)
Language:
Japanese
Journal:
Japanese Journal of Cardiovascular Surgery
Year:
1996
Document type:
Article