[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
October 1982

Status of Vein Valve Transplant After 12 Months

Author Affiliations

From the Department of Surgery, State University of New York at Buffalo, and the Departments of Surgery (Drs Taheri and Elias) and Family Practice (Dr Lazar), Millard Fillmore Hospital, Buffalo.

Arch Surg. 1982;117(10):1313-1317. doi:10.1001/archsurg.1982.01380340041010

• Sequelae of the postphlebitic syndrome can now be treated by direct valve surgery. However, present surgical treatment of stasis ulcer, including removal of the incompetent communicating veins, ulcer excision, and skin grafting, remains essential to patient care. When done alone, perforator Interruption and ulcer care are effective but allow a high rate of ulcer recurrence. Experimental studies to restore venous valve function have included autogenous vein valve transplantation, valvoplasty, and homologous vein transplantation, and synthetic valve procedures also have been tried. Clearly, the patency rate of an autogenous vein graft is better than any other procedure. Operations were done in 11 patients using an autogenous vein valve from the upper extremity to restore a normal-functioning venous valve in the lower extremity. Data on preoperative and postoperative measurements and ascending and descending venography indicate hemodynamic improvement of venous function in these extremities.

(Arch Surg 1982;117:1313-1317)

Barker WF, Mandiola S: Advances in the Management of Cardiovascular Disease . Chicago, Year Book Medical Publishers Inc, 1980, pp 31-42.
Bergan J, Yao ST: Venous Problems . Chicago, Year Book Medical Publishers Inc, 1978, p 493.
Coon WW, Willis PW, Keller JB:  Venous thromboembolism and other venous diseases in the Tecumseh community health study . Circulation 1973;48:839-846.Article
McLachlin AD, Carroll SE, Meads E, et al:  Valve replacement in the recanalized incompetent superficial femoral vein in dogs . Ann Surg 1966;162:446-452.Article
Barnes RW, Collicott PE, Sumner DS, et al:  Noninvasive quantitation of venous hemodynamics in the postphlebitic syndrome . Arch Surg 1973; 107:807-814.Article
Wesolowski SA, Greenfield H, Sawyer PN, et al:  Diagnostic value of phlebography in venous disorders of the lower extremity . J Cardiovasc Surg 1965;( (September) suppl):133-151.
Herman RJ, Neiman HL, Yao ST, et al:  Descending venography: A method of evaluating lower extremity venous valvular function . Radiology 1980;137:63-69.Article
Kistner RL:  Surgical repair of the incompetent femoral vein valve . Arch Surg 1975;110:1336-1342.Article
Homans J:  The etiology and treatment of the varicose ulcer of the leg . Surg Gynecol Obstet 1917;24:300.
Luke JC:  Diagnosis of chronic enlargement of leg with description of a new syndrome . Surg Gynecol Obstet 1941;73:472.
Bower R, Federici V, Howard JM:  Continuing studies of replacement of segments of the venous system . Surgery 1960;47:132-139.
Dodd H, Cockett FB (eds): The Pathology and Surgery of the Veins of Lower Limb . New York, Churchill Livingstone, 1956.
Haimovici H, Hoffer P, Zincola N, et al:  An experimental and clinical evaluation of the grafts in the venous system . Surg Gynecol Obstet 1970;131:1173-1186.
Dale WA, Scott HW Jr:  Grafts of the venous system . Surgery 1963;53:52-74.
Moore TC, Yong NK:  Experimental replacement and bypass of large veins . Bull Soc Int Chir 1964;23:274.
Steinman C, Alpert J, Haimovici H:  Inferior vena cava bypass grafts: An experimental evaluation of a temporary arteriovenous fistula on their long-term patency . Arch Surg 1966;93:747-754.Article
DeWeese JA, Niguidula F:  The replacement of short segments of veins with functional autogenous venous grafts . Surg Gynecol Obstet 1960;110:303-308.
Cerino M, McGraw JY, Luke JC:  Autogenous vein graft replacement of thrombosed deep veins . Surgery 1964;55:123-134.
Psathakis N:  Has the 'substitute valve' at the popliteal vein solved the problem of venous insufficiency of the lower extremity? J Cardiovasc Surg 1968;9:64.