Hemodynamics and Surgical Results of Chronic Venous Insufficiency with Skin Changes in the Lower Limbs

• Published in: Japanese Journal of Cardiovascular Surgery Vol. 25; no. 5; pp. 290 - 294
• Main Authors: Hoshino, Shunichi, Takase, Shinya, Satokawa, Hirono, Iwaya, Fumio, Igari, Tsuguo, Midorikawa, Hirohumi, Ogawa, Tomohiro
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society for Cardiovascular Surgery 1996
• ISSN: 0285-1474; 1883-4108
• DOI: 10.4326/jjcvs.25.290

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.