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Updated: Feb 27, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
Venous Intervention Improves Patient Outcomes
Wayne J Caputo1, Michael D Kaplan2, Robert E Kamieniecki3
1Wound Care Center Clara Maass Medical Center Belleville, New Jersey.
Integrating venous evaluation into wound care protocols significantly improves venous ulcer healing. This approach enhances patient quality of life by effectively treating underlying venous disease.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Wound Care
Background:
- Venous ulcers present a significant challenge in healing.
- A multidisciplinary approach is recommended for effective wound management.
Purpose of the Study:
- To evaluate the impact of adding venous evaluation and intervention to a wound center protocol.
- To assess the effectiveness of surgical interventions for venous disease in patients with ulcers.
Main Methods:
- Seventy-five patients with suspected venous disease were assessed.
- Twenty-seven patients underwent diagnostic testing, including CT venography or venography.
- Eleven patients were selected for surgical intervention, such as venous ablation or stenting.
Main Results:
- All 11 patients who underwent intervention showed reduced inflammation.
- 100% of patients with open wounds experienced improvement, with most achieving complete closure.
- The study supports continued referral for venous interventions.
Conclusions:
- Referral for venous evaluation improved healing outcomes for patients with venous ulcers.
- Incorporating venous interventions enhances the quality of life for patients with venous disease.
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