Technical options in venous valve reconstruction

Purpose Several modifications and details of techniques that were found useful in venous valve reconstruction are described. Related technical outcome data are also presented. Methods Five hundred eighty-two valve segments were reconstructed in 347 limbs using a variety of different techniques. Results Intraoperative valve competence was achieved in 86% of 347 limbs. The incidence of technical stenosis was 4%, thrombosis of repair <1%, loss due to hematoma/infection <1%, and operative mortality 0%. Postoperative duplex competence was achieved fully in 78% and partially in 16%; 6% remained refluxive. Rapid post-operative healing of stasis ulcer occurred in 93%. Conclusions The expanded variety of technical options in valve reconstruction allows optimization for the individual patient. Regardless of pathology, a functional venous valve can be reconstructed in most patients utilizing one of the described techniques.