Haemodynamic and clinical assessment of lateral marginal vein excision in patients with a predominantly venous malformation of the lower extremity.
OBJECTIVE
The purpose of the present study was to determine the effects of the surgical excision of lateral marginal veins (LMVs) in patients with a venous malformation (VM) affecting the lower extremity.


METHODS
Preoperative and postoperative air plethysmography (APG), CEAP classification C scores, and venous clinical severity scores (VCSS) of the 25 VM patients who underwent LMV excision were compared.


RESULTS
After LMV excision, venous haemodynamic parameters revealed significantly increased ejection fraction (EF, 33.2 S.D.18.5% vs. 39.7 S.D.21.2%, P=.020), and reduced venous volume (VV, 235.0 S.D.141.8 ml vs. 198.0 S.D.114.1 ml, P=.016) and residual venous fraction (RVF, 62.4 S.D. 26.6% vs. 56.9 S.D. 25.3%, P=.046). Clinical assessments of affected limbs revealed significantly improved mean CEAP C scores and VCSS (preoperative score, 4.4 S.D.1.7 vs. postoperative score 2.4 S.D.1.7, P=.026) after LMV excision versus preoperative data.


CONCLUSIONS
Haemodynamic and clinical improvements were observed in patients with lower extremity VM after LMV excision.
Kim
Y-W
YW
Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ywkim@smc.samsung.co.kr
Lee
B-B
BB
Cho
J-H
JH
Do
Y-S
YS
Kim
D-I
DI
Kim
E-S
ES
D000293:Adolescent; D000328:Adult; D001783:Blood Flow Velocity; D001810:Blood Volume; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D015637:Gated Blood-Pool Imaging; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D012720:Severity of Illness Index; D013318:Stroke Volume; D013997:Time Factors; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014680:Veins / Q000002:abnormalities* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D014689:Venous Insufficiency / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D014690:Venous Pressure; D020246:Venous Thrombosis / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*