Recurrent (or residual) varicose veins are a major health care problem. Recurrence rates after surgery of 20~40% have been cited. New mode of technological investigations teach that allows us to modify operations to reduce or prevent recurrence of varicose veins. Clinical examination is inaccurate in determining saphenofemoral and saphenopopliteal incompetence. Continuous-wave doppler examination to the clinical assessment does improve the evaluation but the technique is flawed because of a likelihood of false-positive findings. The colour duplex scan yields findings that correlate reasonably closely with those of varicography. Darke SG (1991) classified recurrent varicose veins into 3 specific categories and Stonebridge PA (1995) also defined recurrence according to varicography. Recurrent varicose veins are associated with technically unsatisfactory surgery at the saphenofemoral or saphenopopliteal junction and failure to remove the great saphenous vein in the thigh. Reoperation which re-ligate the recurrent trunks and cover the saphenofemoral junction with fascia or prosthetic mesh can minimize further recurrence.
Delivery of Health Care ; Fascia ; Recurrence ; Reoperation ; Saphenous Vein ; Thigh ; Varicose Veins*

No abstract available.
Sclerotherapy*

No abstract available.
Varicose Veins*

No abstract available.
Varicose Veins*

Congenital arteriovenous malformation is one of developmental anomaly of vascular system. Since the lesion consist of abundant vascular component, feeding arteries and draining vessels, most of the lesions show poor demarcation and even show invasion to the adjacent tissues. Because of this characteristics, management of this malformation is troublesome. Selective arterial embolization and excision of the lesion is one of the recommended management. We experienced congenital arteriovenous malformation at the buttock of 18 years old male patient. He had been performed multiple feeding arterial embolization using Histoacryl with lipiodol 2 years ago because of repeated bleeding. But that buttock bleeding recurred 2 years later. After confirmation of the lesion by MRI and angiogram, wide excision and ligation of feeding artery was done. The wound was repaired by posterior thigh flap.
Adolescent ; Arteries ; Arteriovenous Malformations* ; Buttocks* ; Enbucrilate ; Ethiodized Oil ; Hemorrhage* ; Humans ; Ligation ; Magnetic Resonance Imaging ; Male ; Thigh ; Wounds and Injuries

Placement of central venous catheter is the most common cause of central venous thrombosis. In the setting of a functioning of ipsilateral upper extremity arteriovenous fistula (AVF), symptoms with venous hypertension may be exacerbated. We report a case of patient with successful decompression of severe venous hypertension in the left arm, neck and anterolateral chest wall of a patient whose access for hemodialysis was functioning on the left wrist with left innominate vein occlusion. Left axillary vein to right innominate vein Dacron crossing bypass provided prompt and effective maintenance of venous outflow, with complete resolution of venous engorgement of the affected limb and preservation of dialysis fistula.
Arm ; Arteriovenous Fistula ; Axillary Vein ; Brachiocephalic Veins ; Central Venous Catheters ; Decompression ; Dialysis ; Extremities ; Fistula ; Humans ; Hyperemia ; Hypertension ; Neck ; Polyethylene Terephthalates ; Renal Dialysis* ; Thoracic Wall ; Upper Extremity ; Venous Thrombosis ; Wrist

Hypercoagulable states (HS) are well recognized as a cause of arterial and venous thromboembolism. These coditions are usually associated with abnormalities in natural anticoagulants, the fibrolytic system, or platelet aggregation. Primary arterial thrombosis is unusual in the young population. Hypercoagulable states are usually acquired, but they may be congenital. The congenital states occur in response to deficiency of protein C, protein S, AT-III. And the acquired states occur in response to disease, in response to tissue injury, or in response to therapy. But in this country, we have no any data of prevalence ratio of HS, which developed symptome of arterial occlusion, cases of bypass and theapeutic modality. We experienced two cases of acquired HS that is antiphospholipid syndrome and polycythemia. Based on our experience with this patients and a review of the literature on the previously reported. And we suggest that there will be made for the purpose of studying non-atherosclerotic lower extremity occlusion registry which developed in our country through the small study group.
Anticoagulants ; Antiphospholipid Syndrome ; Humans ; Lower Extremity ; Platelet Aggregation ; Polycythemia* ; Prevalence ; Protein C ; Protein S ; Thrombosis ; Venous Thromboembolism

Adventitial cystic disease of the popliteal artery is a very unusual cause of lower limb ischemia. Even though the etiology and pathogenesis of this condition are poorly understood, a correct diagnosis frequently enables the surgeon to restore limb blood supply to normal. We report a patient with lower limb ischemia due to adventitial cystic disease of the popliteal artery. The patient was 56-year-old man who can jog 10 km everyday. He developed progressive severe left calf claudication since 6 month ago. We could completely restore the limb blood supply by cystostomy and evacuation of gelatinous material from the adventitial cyst of the popliteal artery. The patient was recovered without any complication.
Cystostomy ; Diagnosis ; Extremities ; Gelatin ; Humans ; Ischemia ; Lower Extremity ; Middle Aged ; Popliteal Artery*

Adventitial cystic disease of the popliteal artery is a rare disorder that causes localized stenosis or occlusion by compression of the vessel lumen. The disease produces lower extremity claudication, typically in young and middle-aged men. We report a case of the adventitial cystic disease of the popliteal artery in a 55-year-old man with symptom of left calf claudication. Diagnosis was done by ultrasound, angiography, and magnetic resonance imaging. The patient was treated with resection of the diseased popliteal artery followed by interposition of saphenous vein graft. Postoperatively, the symptom and sign resolved completely.
Angiography ; Constriction, Pathologic ; Diagnosis ; Humans ; Lower Extremity ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Popliteal Artery* ; Saphenous Vein ; Transplants ; Ultrasonography

The spontaneous rupture of abdominal aorto-iliac aneurysm into inferior vena cava or iliac vein is rare, with a reported incidence of 3% to 4% of all ruptured aneurysm(1,2). This is the most frequent cause of a major abdominal arteriovenous fistula (AVF)(1). We experienced a spontaneous rupture of abdominal aorto-iliac aneurysm into left common iliac vein with gastric leiomyoma in a 64 year-old female patient. The management of abdominal aortic aneurysm with neoplasm of digestive organ is still controversial. We have successfully managed these two lesions by simultaneous operation without any surgical complication. We report the case and briefly review the literature.
Aneurysm* ; Aortic Aneurysm, Abdominal ; Arteriovenous Fistula ; Female ; Humans ; Iliac Vein* ; Incidence ; Leiomyoma* ; Middle Aged ; Rupture, Spontaneous* ; Vena Cava, Inferior