Vascular Reconstruction Using Axial Transposition Improves Outcome

Vascular reconstruction using valvuloplasty combined with axial transposition of a competent tributary vein produces a better outcome than valvuloplasty alone.

The greater saphenous vein offers one of the best graft sites for vascular reconstruction. Surgeons from the Department of Plastic and Reconstructive Surgery, Tokyo, Japan, suggested a novel technique to manage incompetent greater saphenous veins: valvuloplasty combined with axial transposition of a competent tributary vein. They suggested that this approach minimizes reflux into the proximal greater saphenous vein from a competent tributary, which remains a problem with valvuloplasty of the subterminal valve.

The authors treated 38 limbs using angioscopic valvuloplasty of the subterminal valve. They treated another 40 limbs using angioscopic valvuloplasty and axial transposition of a competent tributary vein.

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