NDLI: Functional repair of the great saphenous vein by external valvuloplasty reduces the vein's diameter: 6-month results of a multicentre study

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Functional repair of the great saphenous vein by external valvuloplasty reduces the vein's diameter: 6-month results of a multicentre study

Content Provider	SAGE Publishing
Author	Mühlberger, Dominic Brenner, Erich Frings, Norbert Geier, Bruno Mumme, Achim Reich-Schupke, Stefanie Steffen, Horst-Peter Stenger, Dietmar Stücker, Markus Hummel, Thomas
Copyright Year	2021
Abstract	ObjectivesExternal valvuloplasty (eVP) is a reconstructive surgical method to repair the function of the terminal and preterminal valves. We evaluated the 6-month outcomes of eVP regarding the diameter of the great saphenous vein (GSV).MethodsPatients from five vein centres were included in this observational study. Follow-up involved detailed duplex sonography of the GSV. The venous clinical severity score (VCSS) and the C class of the clinical, aetiologic, anatomic and pathophysiologic (CEAP) classification were recorded.ResultsWe enrolled 210 patients, with a follow-up rate of 58%; eVP was sufficient in 95.24% of the patients. The GSV diameters decreased significantly from 4.4 mm (standard deviation (SD): 1.39) to 3.9 (SD: 1.12), 4 cm distal to the saphenofemoral junction (SFJ); from 3.7 mm (SD: 1.10) to 3.5 mm (SD: 1.02) at the mid-thigh; from 3.6 mm (SD: 1.14) to 3.3 mm (SD: 0.94) at the knee and from 3.1 mm (SD: 0.99) to 2.9 mm (SD: 0.78) at the mid-calf. VCSS decreased significantly from 4.76 (SD: 2.13) preoperatively to 1.77 (SD: 1.57) 6 months postoperatively.ConclusionsGSV function can be restored by eVP; diameters over the total length of the GSV decreased significantly.
Related Links	https://journals.sagepub.com/doi/pdf/10.1177/03000605211014364?download=true
ISSN	03000605
Issue Number	5
Volume Number	49
Journal	Journal of International Medical Research (IMR)
e-ISSN	14732300
DOI	10.1177/03000605211014364
Language	English
Publisher	Sage Publications UK
Publisher Date	2021-05-14
Publisher Place	London
Access Restriction	Open
Rights Holder	© The Author(s) 2021
Subject Keyword	venous reflux varicose vein external valvuloplasty Great saphenous vein saphenofemoral junction reconstruction
Content Type	Text
Resource Type	Article
Subject	Biochemistry (medical) Cell Biology Biochemistry

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Functional repair of the great saphenous vein by external valvuloplasty reduces the vein's diameter: 6-month results of a multicentre study

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