[Long-term results after femoral vein valve repair for chronic venous insufficiency].
OBJECTIVE
Our long-term results with anterior venous sinus plication (AVSP) for femoral vein reconstruction will be presented.


METHODS
Between 1986 and 2001 we treated 2 100 patients in our hospital for chronic venous insufficiency. In 3.3 % of the patients (n = 70) an AVSP of the target valve, which is the highest valve of the femoral vein distally of the profundal vein branch was carried out. 50 patients could be followed for 2-15 (average 4.6) years postoperatively by phlebographic control.


RESULTS
Four recovery patterns after valve repair were seen on venography. The most typical type was the plicated site stop seen in 22 of 50 patients (44 %). Here the venous reflux was stopped at the plicated site directly. The clinical results were good or excellent for all patients. No patient underwent a second procedure for recurrence of the symptoms. A profundal femoral vein reflux did not negatively influence patient outcome.


CONCLUSIONS
AVSP is an excellent method of valve repair in strictly selected patients with chronic venous insufficiency (= no postthrombotic syndrome, no thrombotic occlusion of the femoral veins). Long-term results up to 15 years were highly satisfactory.
Abe
Y
Y
Cardiovascular Surgery and Division of Clinical Research, National Kanazawa Hospital, Ishikawa, Japan.
Ueyama
T
T
Endo
M
M
Kasashima
F
F
Kosugi
I
I
Matsumoto
Y
Y
Sasaki
H
H
D000328:Adult; D005260:Female; D005268:Femoral Vein / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D013536:Suture Techniques; D014648:Varicose Veins / Q000601:surgery; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*