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Postthrombotic or non-postthrombotic severe venous insufficiency: impact of removal of superficial venous reflux with or without subcutaneous fasciotomy

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Published in Journal of Vascular Surgery. 2007, vol. 46, no. 2, p. 316-21
Abstract Severe chronic venous insufficiency is often associated with therapy-resistant or recurrent venous leg ulcers, either as a result of deep vein thrombosis (DVT)- (postthrombotic syndrome [PTS]) or superficial venous insufficiency (SVI). Frequently present dermatoliposclerosis affects the skin as well as the subcutaneous and subfascial structures, which may impact tissue pressures and compromise skin perfusion. This study was undertaken to measure tissue pressures in PTS and SVI limbs and to evaluate the impact of removal of superficial venous reflux with or without concomitant subcutaneous fasciotomy.
Keywords AdultAgedAged, 80 and overChronic DiseaseFasciitis/surgeryFemaleHumansLigationMaleMiddle AgedMuscles/physiopathologyPostphlebitic Syndrome/complications/etiology/physiopathology/surgeryPressureRecurrenceRegional Blood FlowSeverity of Illness IndexSkin/blood supplySubcutaneous Tissue/physiopathologyTreatment OutcomeVaricose Ulcer/etiology/physiopathology/surgeryVascular Surgical ProceduresVenous Insufficiency/complications/etiology/physiopathology/surgeryVenous Thrombosis/complications/physiopathology/surgeryWound Healing
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PMID: 17664106
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Research group Chirurgie cardio-vasculaire (105)
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CHRISTENSON, Jan. Postthrombotic or non-postthrombotic severe venous insufficiency: impact of removal of superficial venous reflux with or without subcutaneous fasciotomy. In: Journal of Vascular Surgery, 2007, vol. 46, n° 2, p. 316-21. https://archive-ouverte.unige.ch/unige:34772

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Deposited on : 2014-03-13

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