Deep Venous Reconstruction: A Case Series

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Title: Deep Venous Reconstruction: A Case Series
Authors: Kosasih, S
Moore, H
Lane, TRA
Davies, A
Item Type: Journal Article
Abstract: Objectives This study aims to review a case series of deep venous reconstruction procedures performed at one centre by a single consultant. Methods A retrospective review of deep venous reconstruction procedures performed by a single consultant from 1994 to 2013 was carried out and all notes were reviewed for outcomes. A 58-month cumulative patency rate was calculated using Kaplan-Meier survival analysis. Results Nineteen patients underwent deep venous reconstruction procedures including the Palma bypass, May-Husni bypass, femoral vein transposition and axillary vein transplant techniques from 1994 to 2013. Eleven patients were male and eight were female with a mean average age of 45.2 years (range 29-63). Clinical severity of disease ranged from C3 to C6, and 16 patients had a confirmed history of deep vein thrombosis. Cumulative primary patency rate for all reconstructions at 58 months was 89.5%, with two patients occluding and 17 remaining patent at last follow-up. Conclusion Deep venous reconstructions, particularly the Palma and May-Husni procedures, are feasible and can have good outcomes in patients failed by endovascular techniques and other more conservative therapies.
Issue Date: 26-Jul-2017
Date of Acceptance: 26-Jul-2017
URI: http://hdl.handle.net/10044/1/50263
DOI: https://dx.doi.org/10.7759/cureus.1518
ISSN: 2168-8184
Publisher: Cureus, Inc.
Journal / Book Title: Cureus
Volume: 9
Issue: 7
Copyright Statement: © Copyright 2017 Kosasih et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Publication Status: Published
Article Number: e1518
Appears in Collections:Division of Surgery
Faculty of Medicine



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