This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (114)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Robert L. Kistner, MD

Arch Surg. 1975;110(11):1336-1342.

Abstract
• Incompetent femoral vein valves are identified by reflux femoral phlebography in selected patients with postphlebitic syndrome. In addition to conventional stripping of varices and subfascial interruption of communicating veins, 14 patients with 17 involved extremities have undergone surgical repair of an incompetent valve in the superficial femoral veins. Pathologic condition of the valve consisted of elongation of the cusp edge. Repair was achieved by a series of tucking sutures shortening the cusp and restoring competence to the valve. Healing of ulcers and relief of swelling occurred in 90% of the patients. This rate was maintained up to seven years. These cases demonstrate the feasibility of surgery on the femoral vein valve. The relative importance of conventional stripping, subfascial communicating vein interruption, and femoral valve repair will have to be established by way of further clinical experience.

(Arch Surg 110:1336-1342, 1975)

Author Affiliations
From the Department of Vascular Surgery, Straub Clinic, Honolulu.

Footnotes
Accepted for publication July 18, 1975.

Read before the 23rd scientific meeting of the International Cardiovascular Society, Boston, June 19, 1975.

Reprint requests to Straub Clinic, 888 S King St, Honolulu, HI 96813 (Dr Kistner).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Conception of the Venous Hemodynamics in the Lower Extremity
Recek
ANGIOLOGY 2006;57:556-563.
ABSTRACT  

Chronic Venous Insufficiency
Eberhardt and Raffetto
Circulation 2005;111:2398-2409.
FULL TEXT  

The Venous Reflux
Recek
ANGIOLOGY 2004;55:541-548.
ABSTRACT  

Surgical Options for the Treatment of Venous Ulcers
Welch
VASC ENDOVASCULAR SURG 2004;38:195-202.
ABSTRACT  

Five-Year Experience of Valvular Reconstructions for Nonhealing Leg Ulceration due to Deep Venous Reflux: Lessons Learned
Tripathi et al.
PERSPECT VASC SURG ENDOVASC THER 2002;15:87-100.
ABSTRACT  

Deep Vein Valvular Incompetence: Options for Reconstruction
Sanders and Dalsing
PERSPECT VASC SURG ENDOVASC THER 2001;14:89-106.
ABSTRACT  

Results of Deep-Vein Reconstruction
Sottiurai
VASC ENDOVASCULAR SURG 1997;31:276-278.
 

New Horizons in the Operative Treatment of Deep Venous Incompetence of the Lower Limb
Psathakis
VASC ENDOVASCULAR SURG 1992;26:165-185.
ABSTRACT  

Surgical Treatment of Stasis Venous Ulcers of the Lower Limb
Taheri et al.
VASC ENDOVASCULAR SURG 1992;26:37-41.
ABSTRACT  

Nine Years' Experience with the Valvular Substitution by Technique II in Deep Venous Insufficiency of the Lower Limb
Psathakis and Psathakis
VASC ENDOVASCULAR SURG 1991;25:374-395.
ABSTRACT  

Venous Hemodynamics in a Chronic Venous Valvular Insufficiency Model
Lalka et al.
Arch Surg 1990;125:1579-1583.
ABSTRACT  

Deep Venous Thombosis: An Overview
Hufnagel
ANGIOLOGY 1990;41:337-351.
ABSTRACT  

Surgical treatment of the postphlebitic limb
McMullin
Vasc Med 1990;1:69-83.
 

How to Select and Operate on Patients with Deep Venous Insufficiency of the Lower Limb
Psathakis and Psathakis
VASC ENDOVASCULAR SURG 1989;23:102-121.
ABSTRACT  

Is the Problem of the Postthrombotic Syndrome Reality or Myth?
Psathakis and Psathakis
VASC ENDOVASCULAR SURG 1988;22:1-17.
ABSTRACT  

Radiological Evaluation of the Chronic Venous Stasis Syndrome
Train et al.
JAMA 1987;258:941-944.
ABSTRACT  

Tactics on Investigation of the Venous Dynamics and Their Validation Before and After Operations in the Deep Veins of the Lower Limb
Psathakis and Psathakis
VASC ENDOVASCULAR SURG 1987;21:192-207.
ABSTRACT  

The Substitute Valve Operation on the Popliteal Vein in the Treatment of Deep Venous Incompetence of the Lower Extremity
Sun and Zhang
VASC ENDOVASCULAR SURG 1987;21:17-27.
ABSTRACT  

A Study of Valve Incompetence That Developed in an Experimental Model of Venous Hypertension
Bemmelen et al.
Arch Surg 1986;121:1048-1052.
ABSTRACT  

Rationale and Efficacy of the Substitute "Valve" Operation by Technique II in Deep Venous Insufficiency of the Lower Limb
Psathakis and Psathakis
VASC ENDOVASCULAR SURG 1986;20:211-224.
ABSTRACT  

The Non-Invasive Substitute "Valve" Operation by Technique II in Chronic Venous Insufficiency of the Lower Limb
Psathakis and Psathakis
VASC ENDOVASCULAR SURG 1985;19:421-434.
ABSTRACT  

Descending Valvular Incompetence in Venous Pathophysiology Experimental Proof
van Bemmelen and Hoynck van Papendrecht
VASC ENDOVASCULAR SURG 1985;19:231-237.
ABSTRACT  

Venous Stasis Ulceration: Effectiveness of Subfascial Ligation
Johnson et al.
Arch Surg 1985;120:797-800.
ABSTRACT  

Direct Venous Surgery for Venous Valvular Insufficiency of the Lower Extremity
Huse et al.
Arch Surg 1983;118:719-723.
ABSTRACT  

Sympathectomy in the Treatment of Chronic Venous Leg Ulcers
Patman
Arch Surg 1982;117:1561-1565.
ABSTRACT  

Femoral Vein Reconstruction in the Management of Chronic Venous Insufficiency: A 14-Year Experience
Ferris and Kistner
Arch Surg 1982;117:1571-1579.
ABSTRACT  

Surgical Treatment of Post Phlebitic Syndrome
Taheri et al.
VASC ENDOVASCULAR SURG 1982;16:341-352.
ABSTRACT  

Status of Vein Valve Transplant After 12 Months
Taheri et al.
Arch Surg 1982;117:1313-1317.
ABSTRACT  

Triangular Venous Valvuloplasty: A New Procedure for Correction of Venous Incompetence
Jones et al.
Arch Surg 1982;117:1250-1251.
ABSTRACT  

Pathophysiologic Evaluation of Chronic Venous Stasis with Ambulatory Venous Pressure Studies
Schanzer and Peirce
ANGIOLOGY 1982;33:183-191.
 

Leg Ulcer: Conservative Management or Surgical Treatment?
Kitahama et al.
JAMA 1982;247:197-199.
ABSTRACT  

Late Objective Assessment of Venous Valve Surgery
Johnson et al.
Arch Surg 1981;116:1461-1466.
ABSTRACT  

Thrombophlebitis: Diagnosis, Sequelae, and Therapeutic Options
Dagher
VASC ENDOVASCULAR SURG 1981;15:231-239.
 

Significance of Popliteal Reflux in Relation to Ambulatory Venous Pressure and Ulceration
Shull et al.
Arch Surg 1979;114:1304-1306.
ABSTRACT