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Published on: November 19, 2019
Surgical Technique for Deep Venous Reflux Suppression in Femoral Vein Duplication
1Vascular Diseases Centre, Unit of Translational Surgery, University of Ferrara, Italy.
Background:
Deep venous surgery is a challenging field with limited indications. Femoral vein duplication (FVD) is a frequent anatomical variant (55% prevalence). The aim was to describe a simple technique for managing deep venous reflux in FVD, when just one of the two segments exhibits deep venous reflux.
Methods:
The technique consists of closing the refluxing femoral branch with a titanium clip. In this way abolition of reflux along the duplicated vessel is achieved, together with the restoration of femoral vein drainage.
Results:
The technique is feasible and associated with improvement in limb haemodynamics.
Conclusions:
Thanks to the high prevalence of FVD, the proposed technique provides an opportunity to treat a larger number of cases affected by primary or post-thrombotic deep venous reflux.
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