Strategies to minimize the effect of neovascularization at the saphenofemoral junction after great saphenous vein surgery: an overview
Marianne G. De MAESENEER Department of Vascular Surgery, University Hospital Antwerp, Belgium ABSTRACT The recurrence rate remains high after great saphenous vein (GSV) surgery. One of the major contributing factors is neovascularization at the level of the ligated GSV stump. To mitigate the effect of neovascularization, several approaches are possible, which are reviewed in this article. Some surgical strategies directly focus on the saphenofemoral junction (SFJ). Instead of simple ligation of the GSV stump, modified techniques have been tested: complete elimination of the GSV stump, hiding (inverting) the GSV stump, increasing the spatial separation between the stump and surrounding superficial…