[Treatment of occluded iliofemoral veins with great saphenous vein cross-over bypasses].
OBJECTIVE
To summarize clinical application experience of treatment of occluded iliofemoral veins with great saphenous vein cross-over bypasses.


METHODS
From September 1998 to December 2005,6 patients(5 men, 1 woman) with occluded iliofemoral veins underwent great saphenous vein cross-over bypasses. They ranged in age from 36 to 52 years (mean, 41 years old). All patients had unilateral thigh and leg edema and swelling with accompanying pain. The normal contralateral great saphenous vein was dissected and it was tunneled across the super-pubic fat pad and anastomosed to the femoral vein or the proximal portion of great saphenous vein in distal to occluded iliofemoral veins.


RESULTS
The postoperative course was uneventful. One case sustained superficial infection postoperatively at donor site and the gradual wound healed by daily wound dressings. At 1 to 3.5 years (mean 1.8 years) followed up, all patients had pain disappearance and obvious relief of the edema but some swelling.


CONCLUSIONS
Great saphenous vein cross-over bypasses is effective operative method of treatment of occluded iliofemoral veins. The operation is relatively simple and safe.
Zhang
Gong-lin
GL
Department of Orthopaedics, Orthopaedics and Traumatology, Hospital of Wenling City, Wenling 317500, Zhejiang, China. 668zgl@163.com
Zhang
Ming
M
Jing
Hao
H
Zhang
Ling-zhi
LZ
Guo
Ao
A
Hu
Yu-xiang
YX
Ding
Fa-ming
FM
D000328:Adult; D004617:Embolism / Q000601:surgery*; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D007084:Iliac Vein / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*