Deep venous reflux definitions and associated clinical and physiological significance

Lim KH, Hill G, Tarr G, van Rij A. J Vasc Surg: Venous and Lym Dis.2013;1:325-332. Classification validation as well as physiopathological significance of deep venous reflux (DVR) remains debated knowing that DVR is frequently combined with superficial venous reflux (SVR). Numerous key questions need to be answered. First, does segmental deep reflux have an impact on CVD or not? Second, does segmental reflux location matter? In other words, do isolated common femoral vein reflux or popliteal vein reflux have the same physiopathological importance in terms of clinical and hemodynamic anomalies? Third, does SVR suppression abolish or improve DVR segmental…

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Operative treatment in postthrombotic syndrome: an update

Oscar MALETI1, Marzia LUGLI2, Michel PERRIN3 1. Department of Cardiovascular Surgery, Hesperia Hospital Modena, Italy Interuniversity Center of Phlebolymphology. 2. Department of Cardiovascular Surgery, Hesperia Hospital Modena, Italy. 3. Associate Professor of Surgery Grenoble and for Institution Unit√© de Pathologie Vasculaire Jean Kunlin, Clinique du Grand Large, Chassieu, Lyon, France. ABSTRACT Postthrombotic deep vein obstruction and/or incompetence can lead to severe chronic venous insufficiency in a significant number of cases. Postthrombotic lesions are essentially of two types: (i) obstruction of various degrees; and (ii) valve destruction with subsequent reflux. These two elements are variously present at different levels. The most…

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