Using a small animal experimental model a large number of angiographic studies were carried out in progressive degrees of venous insufficiency. The ex istence of the DVI mechanism in venous pathophysiology was demonstrated, stressing the need for correction of proximal valvular incompetence. Further more, the beneficial effect of lowering the pressure in the proximal venous sys tem on the distal veins was documented. This study provides experimental evidence for the usefulness of venous reconstruction and justifies the more wide spread clinical application of venous reconstruction at an earlier point in venous disease.
Get full access to this article
View all access options for this article.
References
1.
Kistner RL: Surgical repair of the incompetent femoral vein valve. Arch Surg110: 1336, 1975.
2.
Hallberg D.: A method for repairing incompetent valves in deep veins. Acta Chir Scand138: 143, 1972.
3.
Queral LA, et al: Surgical correction of chronic deep venous insufficiency by valvular transposition. Surg87: 688, 1980.
4.
Taheri SA, et al: Vein valve transplant. Surg91: 28, 1982.
5.
Ferris EB, Kistner RL: Femoral vein reconstruction in the management of chronic venous insufficiency . Arch Surg117: 1571, 1982.
6.
Huse JB, et al: Direct venous surgery for venous valvular insufficiency of the lower extremity. Arch Surg118: 719, 1983.
7.
Raju S.: Venous insufficiency of the lower limb and stasis ulceration. Ann Surg197: 688, 1983.
8.
Milleret R., Lavaud S., Lamaudie P.: Chirurgie des reflux profonds dans les sequelles de phlebite. Phlébologie35: 721, 1982.
9.
van Bemmelen SP: Paper to be published.
10.
May R., Gottlob R.: A technique of phlebography of the hind legs of rabbits and guinea-pigs. Ang5: 304, 1954.
11.
van Bemmelen SP, Hoynck van Papendrecht A, Nieuborg L: Evaluation of the patency of microvenous anastomosis by phlebography after intramedullary injection of contrast material. Br J Plast Surg36: 463, 1983.
12.
Kistner RL: Primary venous valve incompetence of the leg. Ann J Surg140: 218, 1980.
13.
Zsotér T., Cronin Rtp: Venous distensibility in patients with varicose veins. Can Med Assoc J94: 1293, 1966.
14.
Bardeleben K.: Das klappen-Distanz Gesetz. Jenaische Zeitschrift für Naturwissenschaft14: 467, 1880.
15.
Lofgren EP, et al: The venous valves of the foot and ankle. Surg Gynaecol Obstet127: 289, 1968.
16.
Braverman IM , Keh-Yen A: Ultrastructure of the human dermal microcirculation. IV Valve containing collecting veins at the dermal subcutaneous junction. J Invest Dermatol81: 438, 1983.
