Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency

Atilla Sarac,1 Artan Jahollari,1 Sureyya Talay,1 Sevket Ozkaya,2 Ertugrul Ozal1 1Department of Cardiovascular Medicine, Samsun Medical Park Hospital, Samsun, Turkey; 2Department of Pulmonary Medicine, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey Objective: The aim of this study is t...

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Autores principales: Sarac A, Jahollari A, Talay S, Ozkaya S, Ozal E
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:0500707bd86a4dd6a3a5f058425673fe2021-12-02T01:40:08ZLong-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency1178-1998https://doaj.org/article/0500707bd86a4dd6a3a5f058425673fe2014-04-01T00:00:00Zhttps://www.dovepress.com/long-term-results-of-external-valvuloplasty-in-adult-patients-with-iso-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Atilla Sarac,1 Artan Jahollari,1 Sureyya Talay,1 Sevket Ozkaya,2 Ertugrul Ozal1 1Department of Cardiovascular Medicine, Samsun Medical Park Hospital, Samsun, Turkey; 2Department of Pulmonary Medicine, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey Objective: The aim of this study is to present our 7-year results of external valvuloplasty for isolated great saphenous vein (GSV) insufficiency. Methods: External valvuloplasty was applied in 83 patients with isolated GSV insufficiency. Follow-up consisted of venous color duplex scanning performed on the first postoperative day, the first postoperative month, and then annually. Valvular insufficiency, venous reflux, and venous thrombosis formation in the saphenofemoral junction were the main outcomes. Results: A complete clinical and radiological healing was observed in 50 patients (60%). In 13 cases (15.6%), a secondary surgical treatment was performed consisting of vena saphena magna high ligation/stripping and varicose vein excisions, mainly due to severe and progressive vena saphena magna valvular insufficiency and clinical persistence of symptoms. Eight patients (9.6%) developed superficial vein thrombosis, and only one patient (1.2%) developed deep vein thrombosis. Contact was lost from 32 patients (38.5%) for different reasons. Conclusion: External valvuloplasty is an effective surgical technique for selected cases of isolated GSV insufficiency without extensive varicose dilatations. This alternative method can be safely administered as an alternative to high ligation and conventional GSV stripping. Keyword: vein, saphenous, insufficiency, external valv, valvuloplasty, varicosisSarac AJahollari ATalay SOzkaya SOzal EDove Medical PressarticleIsolated great saphenous vein insufficiencyexternal valvuloplastyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 575-579 (2014)
institution DOAJ
collection DOAJ
language EN
topic Isolated great saphenous vein insufficiency
external valvuloplasty
Geriatrics
RC952-954.6
spellingShingle Isolated great saphenous vein insufficiency
external valvuloplasty
Geriatrics
RC952-954.6
Sarac A
Jahollari A
Talay S
Ozkaya S
Ozal E
Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency
description Atilla Sarac,1 Artan Jahollari,1 Sureyya Talay,1 Sevket Ozkaya,2 Ertugrul Ozal1 1Department of Cardiovascular Medicine, Samsun Medical Park Hospital, Samsun, Turkey; 2Department of Pulmonary Medicine, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey Objective: The aim of this study is to present our 7-year results of external valvuloplasty for isolated great saphenous vein (GSV) insufficiency. Methods: External valvuloplasty was applied in 83 patients with isolated GSV insufficiency. Follow-up consisted of venous color duplex scanning performed on the first postoperative day, the first postoperative month, and then annually. Valvular insufficiency, venous reflux, and venous thrombosis formation in the saphenofemoral junction were the main outcomes. Results: A complete clinical and radiological healing was observed in 50 patients (60%). In 13 cases (15.6%), a secondary surgical treatment was performed consisting of vena saphena magna high ligation/stripping and varicose vein excisions, mainly due to severe and progressive vena saphena magna valvular insufficiency and clinical persistence of symptoms. Eight patients (9.6%) developed superficial vein thrombosis, and only one patient (1.2%) developed deep vein thrombosis. Contact was lost from 32 patients (38.5%) for different reasons. Conclusion: External valvuloplasty is an effective surgical technique for selected cases of isolated GSV insufficiency without extensive varicose dilatations. This alternative method can be safely administered as an alternative to high ligation and conventional GSV stripping. Keyword: vein, saphenous, insufficiency, external valv, valvuloplasty, varicosis
format article
author Sarac A
Jahollari A
Talay S
Ozkaya S
Ozal E
author_facet Sarac A
Jahollari A
Talay S
Ozkaya S
Ozal E
author_sort Sarac A
title Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency
title_short Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency
title_full Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency
title_fullStr Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency
title_full_unstemmed Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency
title_sort long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/0500707bd86a4dd6a3a5f058425673fe
work_keys_str_mv AT saraca longtermresultsofexternalvalvuloplastyinadultpatientswithisolatedgreatsaphenousveininsufficiency
AT jahollaria longtermresultsofexternalvalvuloplastyinadultpatientswithisolatedgreatsaphenousveininsufficiency
AT talays longtermresultsofexternalvalvuloplastyinadultpatientswithisolatedgreatsaphenousveininsufficiency
AT ozkayas longtermresultsofexternalvalvuloplastyinadultpatientswithisolatedgreatsaphenousveininsufficiency
AT ozale longtermresultsofexternalvalvuloplastyinadultpatientswithisolatedgreatsaphenousveininsufficiency
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