Reconstructive surgery for deep vein reflux for left iliac vein stenosis complicated with severe deep venous insufficiency: An analysis of 73 cases
MA Jie
MA Tao
Abstract：Objective To report the clinical outcomes and mid-term results of deep vein valve reconstruction combined with superficial vein surgery in treating deep venous insufficiency (DVI) complicated with left iliac vein stenosis (LIVS). Methods From January 2007 to June 2014,73 cases of DVI complicated with LIVS (male 14,female 59,mean age 49.7) were diagnosed via ascending venography. Deep venous valve reconstruction surgery were performed. Pre-and postoperative Doppler ultrasound,dynamic venography were conducted. Hemodynamic,thrombosisstatus and venous clinical severity score (VCSS) were recorded and compared. Results Among 73 cases, venography results showed 60 cases (82.1%) had stenosis rate between 50.6%to 58.7%and 13 cases (17.9%) had stenosis rate between 60.1% to 65.6%. All the cases had Kistner Class Ⅲ-Ⅳ venous reflux. Postoperative popliteal vein reflux quantity [(165.61 ± 10.25)mL ] was significant lower than preoperative popliteal vein reflux quantity [(812.63 ± 57.42)mL] (t=12.17,P<0.001). VCSS reduced from preoperative(7.98 ± 1.35)to postoperative(1.47 ± 0.68)(t=54.62,P<0.001). All the cases were followed-up for 58 months. No postoperative thrombosis was observed. Limb pain and swelling were relieved;ulcers were healed in 96.2% of the cases;ulcer recurrent rate was 3.8%. Conclusion The deep vein valve reconstruction surgery at the popliteal vein,combined with great saphenous vein,small saphenous vein and perforator vein surgery in treating DVI complicated with LIVS (>50%~65%) is safe and effective,providing satisfactory long-term results.
Keywords：chronic venous insufficiencyiliac vein stenosispopliteal veindeep venous valve reconstruction surgery
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1318-1320,1328 )