Tags

Type your tag names separated by a space and hit enter

Venous hemodynamic changes in the surgical treatment of primary varicose vein of the lower limbs.
Yonsei Med J. 2004 Aug 31; 45(4):577-83.YM

Abstract

Venous hemodynamic changes after the surgery of primary varicose veins were evaluated. (Materials and methods) We retrospectively analyzed 1,211 patients (1,407 limbs) who underwent surgery for primary varicose veins from 1994 to 2002. The venous hemodynamics were evaluated using air- plethysmography (APG) preoperatively and one month postoperatively in the viewpoints of ambulatory venous pressure (AVP), venous volume (VV), venous filling index (VFI), and ejection fraction (EF). (Results) The surgical modalities included 958 cases of greater saphenous vein high ligation (GSV HL) and stripping with varicosectomy (VS), 222 cases of short saphenous vein (SSV) HL and VS, 143 cases of external banding valvuloplasty of GSV and VS, and 44 cases using VNUS and VS. The reduction rate of VV was 20.9 +/- 14.1% in the GSV stripping group, 12.0 +/- 14.7% in the GSV valvuloplasty group, 18.3 +/- 16.1% in the VNUS group, and 20.6 +/- 15.9% in the SSV group. The reduction rate of VFI was 63.6 +/- 20.7% in the GSV stripping group, 38.8 +/- 40.9% in the GSV valvuloplasty group, 60.1 +/- 23.9% in the VNUS group, and 37.6 +/- 30.2% in the SSV group. The increasing rate of EF was 25.0 +/- 28.2% in the GSV stripping group, 21.0 +/- 30.0% in the GSV valvuloplasty group, 29.4 +/- 31.9% in the VNUS group, and 30.0 +/- 36.5% in the SSV group. The reduction rate of AVP was 25.4 +/- 32.2% in the GSV stripping group, -6.1 +/- 58.1% in the GSV valvuloplasty group, 28.4 +/- 38.5% in the VNUS group, and 14.1 +/- 49.0% in the SSV group. All of the patients showed improvements in venous hemodynamics by showing a decrease in VV, VFI, AVP, and an increase in EF. However, there was no difference in the change of venous hemodynamics according to the type of surgery.

Authors+Show Affiliations

Division of Vascular Surgery, Samsung Medical Center, 50 Irwondong, Kangnamku, Seoul 135-710, Korea. dikim@smc.samsung.co.krNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15344196

Citation

Kim, Ick-Hee, et al. "Venous Hemodynamic Changes in the Surgical Treatment of Primary Varicose Vein of the Lower Limbs." Yonsei Medical Journal, vol. 45, no. 4, 2004, pp. 577-83.
Kim IH, Joh JH, Kim DI. Venous hemodynamic changes in the surgical treatment of primary varicose vein of the lower limbs. Yonsei Med J. 2004;45(4):577-83.
Kim, I. H., Joh, J. H., & Kim, D. I. (2004). Venous hemodynamic changes in the surgical treatment of primary varicose vein of the lower limbs. Yonsei Medical Journal, 45(4), 577-83.
Kim IH, Joh JH, Kim DI. Venous Hemodynamic Changes in the Surgical Treatment of Primary Varicose Vein of the Lower Limbs. Yonsei Med J. 2004 Aug 31;45(4):577-83. PubMed PMID: 15344196.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Venous hemodynamic changes in the surgical treatment of primary varicose vein of the lower limbs. AU - Kim,Ick-Hee, AU - Joh,Jin-Hyun, AU - Kim,Dong-Ik, PY - 2004/9/3/pubmed PY - 2004/10/27/medline PY - 2004/9/3/entrez SP - 577 EP - 83 JF - Yonsei medical journal JO - Yonsei Med J VL - 45 IS - 4 N2 - Venous hemodynamic changes after the surgery of primary varicose veins were evaluated. (Materials and methods) We retrospectively analyzed 1,211 patients (1,407 limbs) who underwent surgery for primary varicose veins from 1994 to 2002. The venous hemodynamics were evaluated using air- plethysmography (APG) preoperatively and one month postoperatively in the viewpoints of ambulatory venous pressure (AVP), venous volume (VV), venous filling index (VFI), and ejection fraction (EF). (Results) The surgical modalities included 958 cases of greater saphenous vein high ligation (GSV HL) and stripping with varicosectomy (VS), 222 cases of short saphenous vein (SSV) HL and VS, 143 cases of external banding valvuloplasty of GSV and VS, and 44 cases using VNUS and VS. The reduction rate of VV was 20.9 +/- 14.1% in the GSV stripping group, 12.0 +/- 14.7% in the GSV valvuloplasty group, 18.3 +/- 16.1% in the VNUS group, and 20.6 +/- 15.9% in the SSV group. The reduction rate of VFI was 63.6 +/- 20.7% in the GSV stripping group, 38.8 +/- 40.9% in the GSV valvuloplasty group, 60.1 +/- 23.9% in the VNUS group, and 37.6 +/- 30.2% in the SSV group. The increasing rate of EF was 25.0 +/- 28.2% in the GSV stripping group, 21.0 +/- 30.0% in the GSV valvuloplasty group, 29.4 +/- 31.9% in the VNUS group, and 30.0 +/- 36.5% in the SSV group. The reduction rate of AVP was 25.4 +/- 32.2% in the GSV stripping group, -6.1 +/- 58.1% in the GSV valvuloplasty group, 28.4 +/- 38.5% in the VNUS group, and 14.1 +/- 49.0% in the SSV group. All of the patients showed improvements in venous hemodynamics by showing a decrease in VV, VFI, AVP, and an increase in EF. However, there was no difference in the change of venous hemodynamics according to the type of surgery. SN - 0513-5796 UR - https://www.unboundmedicine.com/medline/citation/15344196/Venous_hemodynamic_changes_in_the_surgical_treatment_of_primary_varicose_vein_of_the_lower_limbs_ L2 - https://www.eymj.org/DOIx.php?id=10.3349/ymj.2004.45.4.577 DB - PRIME DP - Unbound Medicine ER -