0
ARTICLE |

Venous Valve Transplantation in Postphlebitic and Postthrombotic Veins

W. G. Waddell, MD; P. Prudhomme, MD; J. Burke Ewing, MD; S. H. G. Connock, BSc
Arch Surg. 1967;95(5):826-834. doi:10.1001/archsurg.1967.01330170134017.
Text Size: A A A
Published online

THE sequelae of deep venous insufficiency are well known and generally are attributed to ambulatory venous hypertension due to valvular incompetence. Destruction of valves occurs with recanalization after clotting within the deep venous system. Despite adequate venous channels for blood flow and an intact venous "muscle pump," venous return is greatly impaired whenever there is dependency of the lower limbs.

Restoration of valvular function might be achieved by transplantation of valve-bearing segments, by creation of artificial valves using autogenous tissue or by the insertion of appropriate nonthrombogenic synthetic valves.

Previously, autotransplantation of venous valves in healthy canine veins was carried out with patency consistently demonstrated by a single postoperative venogram. In many of the experiments, the venograms were done more than two months after operation and temporary occlusive thrombosis with early recanalization cannot be excluded. However, the valves were judged competent at surgical exposure six to 12 months after operation

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();