Hemodynamics and Surgical Results of Chronic Venous Insufficiency with Skin Changes in the Lower Limbs.
10.4326/jjcvs.25.290
- VernacularTitle:皮膚症状を呈する慢性下肢静脈不全症（Ｃｓ（４～６））の血流状態と外科治療
- Author:
Hirono Satokawa
;
Shunichi Hoshino
;
Fumio Iwaya
;
Tsuguo Igari
;
Hirohumi Midorikawa
;
Shinya Takase
;
Tomohiro Ogawa
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1996;25(5):290-294
- CountryJapan
- Language:Japanese
-
Abstract:
Preoperative hemodynamics in the lower limbs in 174 limbs of 103 patients were measured and investigated and the surgical results were evaluated. The subjects were divided into the C4-6-group, which included 51 limbs with skin changes, and the C2, 3-group, which consisted of 123 limbs without skin changes. Plethysmography showed that the maximum venous outflow was significantly higher, and the refilling time was shorter in the C4-6-group compared to the C2, 3-group. All C4-6-group patients had reflux of the long saphenous vein, and the reflux velocity and volume was significantly greater than in the C2, 3-group. Limbs with deep vein reflux accounted for 45% of the C4-6-group. We performed angioscopic deep vein external valvuloplasty in 23 of those limbs. There was no case of reccurence of skin changes at a mean follow-up of 22 months. However chronic venous insufficiency often was associated with multisegmental reflux lesions and in such cases it might be necessary to perform multiple surgical procedures to eliminate the reflux.
