Key result
Monocusp surgery for uncorrectable chronic venous insufficiency significantly reduced mean venous reflux scores from 3.8 to 0.3 (P<0.001) and improved VEINES classification to 0 (P<0.001) at 4 years.
Why the study?
Does monocusp surgery improve symptoms and venous reflux in patients with uncorrectable chronic venous insufficiency?
Population
11 patients with aggressive symptomatic chronic venous insufficiency and unusable common femoral vein valves.
Design
Case_series
Follow-up
four years
Authors
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Hypothesis-generating for monocusp reconstruction in uncorrectable CVI; prospective trials needed before clinical adoption.
Observational (n=11)
Does monocusp surgery improve symptoms and venous reflux in patients with uncorrectable chronic venous insufficiency?
p-value: p=<0.001
Monocusp surgery utilizing viable vein wall appears to be a durable and effective treatment for patients with severe chronic venous insufficiency and unusable valves.
Opie et al. (2008) conducted an observational in Uncorrectable chronic venous insufficiency with aplastic/dysplastic valves (n=11). Monocusp surgery (autogenous vein wall valve construction) was evaluated on VEINES classification and mean venous reflux scores (p=<0.001). Monocusp surgery for uncorrectable chronic venous insufficiency significantly reduced mean venous reflux scores from 3.8 to 0.3 (P<0.001) and improved VEINES classification to 0 (P<0.001) at 4 years.
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