Related Experiment Video

Updated: Feb 20, 2026

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
08:05

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

5.1K

[Deep Veins: Hybrid Procedure for Treatment of Iliofemoral Obstruction]

Jochen Grommes1, Alexander Gombert1, Mohammed E Barbati1

  • 1Europäisches Gefäßzentrum Aachen-Maastricht, Uniklinik der RWTH Aachen, Pauwelsstraße 30, 52074 Aachen.

Zentralblatt Fur Chirurgie
|October 28, 2017
PubMed

Insights

The hybrid endophlebectomy procedure shows promise for improving outcomes in venous recanalisation, particularly when common femoral vein involvement compromises blood flow. This technique may reduce early reocclusion in patients with chronic iliofemoral or caval vein obstructions.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Endovascular recanalisation of chronic iliofemoral or caval vein obstructions generally yields good patency rates.
  • Patency declines when the common femoral vein and its tributaries are involved in the obstruction.
  • Early reocclusion can occur due to compromised inflow in complex venous obstructions.

Purpose of the Study:

  • To review the technical details and outcomes of the hybrid procedure combining endovascular recanalisation with endophlebectomy.
  • To evaluate the effectiveness of endophlebectomy in improving outcomes for venous recanalisation when femoral inflow is compromised.

Main Methods:

  • The hybrid procedure integrates venous recanalisation and stent angioplasty with surgical endophlebectomy.
  • Review of published studies focusing on this combined technique.

Main Results:

  • Limited studies (4 studies, >10 patients each) with 6-24 month follow-up were analyzed.
  • Primary patency ranged from 0-70%, and secondary patency ranged from 30-93%.
  • The majority of patients experienced significant clinical benefit.

Conclusions:

  • The hybrid procedure with endophlebectomy appears to enhance outcomes in venous recanalisation.
  • This technique is particularly beneficial when femoral inflow is compromised by venous obstruction.
  • Further research is warranted due to the limited number of studies available.

More Related Videos

Tissue Engineering by Intrinsic Vascularization in an In Vivo Tissue Engineering Chamber09:55

Tissue Engineering by Intrinsic Vascularization in an In Vivo Tissue Engineering Chamber

Published on: May 30, 2016

9.4K
Combination of High Ligation and Intraoperative Embolization using Polidocanol for Treatment of Varicoceles03:06

Combination of High Ligation and Intraoperative Embolization using Polidocanol for Treatment of Varicoceles

Published on: December 22, 2023

996

Related Concept Videos

Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
231
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
392
Veins of Lower Limbs01:15

Veins of Lower Limbs

The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
2.7K
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
365
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
242