The Role of External Banding Valvuloplasty with the Venocuff in the Treatment of Primary Deep Venous Insufficiency

Abstract

Objective:

Evaluation of the role of external banding valvuloplasty in the treatment of primary deep venous insufficiency.

Design:

Retrospective analysis of patients subjected to external banding valvuloplasty (EBV) with the Venocuff in relation to the evolution of venous reflux.

Setting:

Department of Vascular Surgery, Instituto Dermopatico dell'Immacolata, Rome, Italy.

Patients:

Ten patients with signs and symptoms of chronic venous insufficiency.

Interventions:

Application of a Venocuff to the superficial femoral vein.

Main outcome measures:

The correction rate of the primary deep venous reflux assessed by venography and colour duplex ultrasound.

Results:

In a mean follow-up period of 10 months, deep vein reflux was completely abolished in nine patients (90%).

Conclusions:

The Venocuff is an improvement over the previous techniques, of surgical treatment of primary deep venous insufficiency in reducing the dilated valve bulb to the correct size in a quick, standardized and precise way.