Technical options in venous valve reconstruction.

Abstract

PURPOSE: Several modifications and details of techniques that were found useful in venous valve reconstruction are described. Related technical outcome data are also presented. METHODS: Five hundred eighty-two valve segments were reconstructed in 347 limbs using a variety of different techniques. RESULTS: Intraoperative valve competence was achieved in 86% of 347 limbs. The incidence of technical stenosis was 4%, thrombosis of repair <1%, loss due to hematoma/infection <1%, and operative mortality 0%. Postoperative duplex competence was achieved fully in 78% and partially in 16%; 6% remained refluxive. Rapid postoperative healing of stasis ulcer occurred in 93%. CONCLUSIONS: The expanded variety of technical options in valve reconstruction allows optimization for the individual patient. Regardless of pathology, a functional venous valve can be reconstructed in most patients utilizing one of the described techniques.