Long-term results of venous valve reconstruction: a four- to twenty-one-year follow-up.
Identifieur interne : 005585 ( PubMed/Curation ); précédent : 005584; suivant : 005586Long-term results of venous valve reconstruction: a four- to twenty-one-year follow-up.
Auteurs : E M Masuda [États-Unis] ; R L KistnerSource :
- Journal of vascular surgery [ 0741-5214 ] ; 1994.
Descripteurs français
- KwdFr :
- Bandages, Complications postopératoires, Débit sanguin régional (physiologie), Humains, Hématome (étiologie), Insuffisance veineuse (), Insuffisance veineuse (imagerie diagnostique), Insuffisance veineuse (physiopathologie), Maladie chronique, Phlébographie, Pression sanguine (physiologie), Récidive, Réintervention, Syndrome post-phlébitique (), Syndrome post-phlébitique (imagerie diagnostique), Syndrome post-phlébitique (physiopathologie), Tables de survie, Ulcère variqueux (), Ulcère variqueux (imagerie diagnostique), Ulcère variqueux (physiopathologie), Veine axillaire (imagerie diagnostique), Veine axillaire (physiopathologie), Veine axillaire (transplantation), Veine fémorale (), Veine fémorale (imagerie diagnostique), Veine fémorale (physiopathologie), Veine saphène (imagerie diagnostique), Veine saphène (physiopathologie), Veine saphène (transplantation), Échographie, Études de suivi.
- MESH :
- imagerie diagnostique : Insuffisance veineuse, Syndrome post-phlébitique, Ulcère variqueux, Veine axillaire, Veine fémorale, Veine saphène.
- physiologie : Débit sanguin régional, Pression sanguine.
- physiopathologie : Insuffisance veineuse, Syndrome post-phlébitique, Ulcère variqueux, Veine axillaire, Veine fémorale, Veine saphène.
- étiologie : Hématome, Veine axillaire, Veine saphène.
- Bandages, Complications postopératoires, Humains, Insuffisance veineuse, Maladie chronique, Phlébographie, Récidive, Réintervention, Syndrome post-phlébitique, Tables de survie, Ulcère variqueux, Veine fémorale, Échographie, Études de suivi.
English descriptors
- KwdEn :
- Axillary Vein (diagnostic imaging), Axillary Vein (physiopathology), Axillary Vein (transplantation), Bandages, Blood Pressure (physiology), Chronic Disease, Femoral Vein (diagnostic imaging), Femoral Vein (physiopathology), Femoral Vein (surgery), Follow-Up Studies, Hematoma (etiology), Humans, Life Tables, Phlebography, Postoperative Complications, Postphlebitic Syndrome (diagnostic imaging), Postphlebitic Syndrome (physiopathology), Postphlebitic Syndrome (surgery), Recurrence, Regional Blood Flow (physiology), Reoperation, Saphenous Vein (diagnostic imaging), Saphenous Vein (physiopathology), Saphenous Vein (transplantation), Ultrasonography, Varicose Ulcer (diagnostic imaging), Varicose Ulcer (physiopathology), Varicose Ulcer (surgery), Venous Insufficiency (diagnostic imaging), Venous Insufficiency (physiopathology), Venous Insufficiency (surgery).
- MESH :
- diagnostic imaging : Axillary Vein, Femoral Vein, Postphlebitic Syndrome, Saphenous Vein, Varicose Ulcer, Venous Insufficiency.
- etiology : Hematoma.
- physiology : Blood Pressure, Regional Blood Flow.
- physiopathology : Axillary Vein, Femoral Vein, Postphlebitic Syndrome, Saphenous Vein, Varicose Ulcer, Venous Insufficiency.
- surgery : Femoral Vein, Postphlebitic Syndrome, Varicose Ulcer, Venous Insufficiency.
- transplantation : Axillary Vein, Saphenous Vein.
- Bandages, Chronic Disease, Follow-Up Studies, Humans, Life Tables, Phlebography, Postoperative Complications, Recurrence, Reoperation, Ultrasonography.
Abstract
The purpose of this study is to describe the very long-term clinical, hemodynamic, and imaging results of venous valve reconstruction for reflux disease in patients with chronic venous insufficiency.
PubMed: 8126852
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<author><name sortKey="Masuda, E M" sort="Masuda, E M" uniqKey="Masuda E" first="E M" last="Masuda">E M Masuda</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Vascular Surgery, Straub Clinic and Hospital, Honolulu, HI 96814-1617.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Hawaï</region>
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<term>Axillary Vein (physiopathology)</term>
<term>Axillary Vein (transplantation)</term>
<term>Bandages</term>
<term>Blood Pressure (physiology)</term>
<term>Chronic Disease</term>
<term>Femoral Vein (diagnostic imaging)</term>
<term>Femoral Vein (physiopathology)</term>
<term>Femoral Vein (surgery)</term>
<term>Follow-Up Studies</term>
<term>Hematoma (etiology)</term>
<term>Humans</term>
<term>Life Tables</term>
<term>Phlebography</term>
<term>Postoperative Complications</term>
<term>Postphlebitic Syndrome (diagnostic imaging)</term>
<term>Postphlebitic Syndrome (physiopathology)</term>
<term>Postphlebitic Syndrome (surgery)</term>
<term>Recurrence</term>
<term>Regional Blood Flow (physiology)</term>
<term>Reoperation</term>
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<term>Saphenous Vein (transplantation)</term>
<term>Ultrasonography</term>
<term>Varicose Ulcer (diagnostic imaging)</term>
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<term>Humains</term>
<term>Hématome (étiologie)</term>
<term>Insuffisance veineuse ()</term>
<term>Insuffisance veineuse (imagerie diagnostique)</term>
<term>Insuffisance veineuse (physiopathologie)</term>
<term>Maladie chronique</term>
<term>Phlébographie</term>
<term>Pression sanguine (physiologie)</term>
<term>Récidive</term>
<term>Réintervention</term>
<term>Syndrome post-phlébitique ()</term>
<term>Syndrome post-phlébitique (imagerie diagnostique)</term>
<term>Syndrome post-phlébitique (physiopathologie)</term>
<term>Tables de survie</term>
<term>Ulcère variqueux ()</term>
<term>Ulcère variqueux (imagerie diagnostique)</term>
<term>Ulcère variqueux (physiopathologie)</term>
<term>Veine axillaire (imagerie diagnostique)</term>
<term>Veine axillaire (physiopathologie)</term>
<term>Veine axillaire (transplantation)</term>
<term>Veine fémorale ()</term>
<term>Veine fémorale (imagerie diagnostique)</term>
<term>Veine fémorale (physiopathologie)</term>
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<term>Veine saphène (physiopathologie)</term>
<term>Veine saphène (transplantation)</term>
<term>Échographie</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Axillary Vein</term>
<term>Femoral Vein</term>
<term>Postphlebitic Syndrome</term>
<term>Saphenous Vein</term>
<term>Varicose Ulcer</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hematoma</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Insuffisance veineuse</term>
<term>Syndrome post-phlébitique</term>
<term>Ulcère variqueux</term>
<term>Veine axillaire</term>
<term>Veine fémorale</term>
<term>Veine saphène</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Débit sanguin régional</term>
<term>Pression sanguine</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Pressure</term>
<term>Regional Blood Flow</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Insuffisance veineuse</term>
<term>Syndrome post-phlébitique</term>
<term>Ulcère variqueux</term>
<term>Veine axillaire</term>
<term>Veine fémorale</term>
<term>Veine saphène</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Axillary Vein</term>
<term>Femoral Vein</term>
<term>Postphlebitic Syndrome</term>
<term>Saphenous Vein</term>
<term>Varicose Ulcer</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Vein</term>
<term>Postphlebitic Syndrome</term>
<term>Varicose Ulcer</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Axillary Vein</term>
<term>Saphenous Vein</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hématome</term>
<term>Veine axillaire</term>
<term>Veine saphène</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Bandages</term>
<term>Chronic Disease</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Life Tables</term>
<term>Phlebography</term>
<term>Postoperative Complications</term>
<term>Recurrence</term>
<term>Reoperation</term>
<term>Ultrasonography</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Bandages</term>
<term>Complications postopératoires</term>
<term>Humains</term>
<term>Insuffisance veineuse</term>
<term>Maladie chronique</term>
<term>Phlébographie</term>
<term>Récidive</term>
<term>Réintervention</term>
<term>Syndrome post-phlébitique</term>
<term>Tables de survie</term>
<term>Ulcère variqueux</term>
<term>Veine fémorale</term>
<term>Échographie</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study is to describe the very long-term clinical, hemodynamic, and imaging results of venous valve reconstruction for reflux disease in patients with chronic venous insufficiency.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8126852</PMID>
<DateCreated><Year>1994</Year>
<Month>04</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted><Year>1994</Year>
<Month>04</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>23</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0741-5214</ISSN>
<JournalIssue CitedMedium="Print"><Volume>19</Volume>
<Issue>3</Issue>
<PubDate><Year>1994</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Journal of vascular surgery</Title>
<ISOAbbreviation>J. Vasc. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Long-term results of venous valve reconstruction: a four- to twenty-one-year follow-up.</ArticleTitle>
<Pagination><MedlinePgn>391-403</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study is to describe the very long-term clinical, hemodynamic, and imaging results of venous valve reconstruction for reflux disease in patients with chronic venous insufficiency.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">There were 51 extremities (48 patients) with follow-up of 4 to 21 years with a mean of 10.6 years. Clinical severity was graded as asymptomatic (class 0), mildly symptomatic (class 1), moderately symptomatic but without ulceration (class 2), or severely symptomatic with or without ulceration (class 3). Preoperative and postoperative evaluation consisted of history and physical examination, ascending venography (preoperative only), ambulatory venous pressures or photoplethysmography, and descending venography or duplex scanning.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Before surgery, 49 (96%) of 51 limbs demonstrated severe, class 3 disease, and two limbs were classified as class 2 disease. After venous valve reconstruction by either direct femoral vein valve repair, transposition, or transplantation, long-term clinical success of achieving a class 0 or 1 result (by life-table analysis) was 60% at 10 years. Thirty-three percent demonstrated a class 0 result in which the limbs were free from symptoms and had no need for long-term elastic support. After 6 years clinical results were stable and did not deteriorate. Incompetent perforators were identified in 31 cases and were treated selectively. Three disease patterns of chronic venous insufficiency were identified: primary valve insufficiency 43%, postthrombotic syndrome 31%, and a group consisting of both primary valve insufficiency of the superficial femoral vein and postthrombotic syndrome of the calf veins (primary valve insufficiency-postthrombotic syndrome) 26%. Ten-year cumulative clinical success was clearly superior in limbs with primary valve insufficiency corrected by valve repair (73%) as opposed to those with postthrombotic syndrome treated by either valve transposition or transplantation (43%) (p = 0.029). Clinical outcome correlated strongly with postoperative imaging results, and durability of valve repair was confirmed by demonstrating competence up to 16 years after the operation. Significant improvement in ambulatory venous pressure (mean percentage of pressure fall and refill time) was found in limbs with class 0 or 1 outcome; however, values did not reach "normal" levels in all cases. Recurrent ulcerations after the operation were attributed to failed reconstructions (10), incompetent profunda femoris veins (three), incompetent perforators (three), and concomitant lymphedema (one).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This report highlights a difference found in very long-term prognosis of surgical treatment of primary valve insufficiency as opposed to postthrombotic syndrome. Long-term elimination of symptoms of chronic venous insufficiency is achieved by valve repair for primary valve insufficiency beyond 10 years, whereas late results of treatment of postthrombotic syndrome in this study was accompanied by high recurrence rates and warrants further investigation.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Masuda</LastName>
<ForeName>E M</ForeName>
<Initials>EM</Initials>
<AffiliationInfo><Affiliation>Department of Vascular Surgery, Straub Clinic and Hospital, Honolulu, HI 96814-1617.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kistner</LastName>
<ForeName>R L</ForeName>
<Initials>RL</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Vasc Surg</MedlineTA>
<NlmUniqueID>8407742</NlmUniqueID>
<ISSNLinking>0741-5214</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D001367" MajorTopicYN="N">Axillary Vein</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001458" MajorTopicYN="N">Bandages</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001794" MajorTopicYN="N">Blood Pressure</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005268" MajorTopicYN="N">Femoral Vein</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006406" MajorTopicYN="N">Hematoma</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015993" MajorTopicYN="N">Life Tables</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010690" MajorTopicYN="N">Phlebography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011186" MajorTopicYN="N">Postphlebitic Syndrome</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012039" MajorTopicYN="N">Regional Blood Flow</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012086" MajorTopicYN="N">Reoperation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012501" MajorTopicYN="N">Saphenous Vein</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014647" MajorTopicYN="N">Varicose Ulcer</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014689" MajorTopicYN="N">Venous Insufficiency</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
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