myvein - Vascular Solutions - Superficial System

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Superficial System

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Varicose veins repair of sapheno-femoral junction with Venocuff II.

Size of Study

Applicability

Indications

How

Results

Recurrence rates for Simultaneous External Valvular Stenting vs Contralateral Leg Stripping: (n=366, recurrence at 5.1 years)	Patient preference comparing External Valvular Stenting with Simultaneous Contralateral Stripping at 3 months post-operatively (n=56)

LESS RECURRENCE WITH VENOCUFF	PATIENTS PREFER VENOCUFF

Comparisons

Randomised Comparison of Stripping of the Long Saphenous and Venocuff Valve Repair withLateral or Anterior Accessory Systems

	Venocuff	Stripping
n	168	11
Recurrence	(2) 1.3%	(4) 38%

Venocuff is better

Objective Variables for External Valvular Stenting of the SFJ

Variable	Pre-operative	Post-operative 3 months (n=100)	Post-operative 61 months (n=105)
Competence	0%	94%	90%
LSV ID at SFJ (mm)	7.6 +/- 2.3	4.9 +/- 1.1	4.8 +/- 1.2
LSV ID at knee (mm)	6.9 +/- 1.9	3.9 +/- 0.7	3.7 +/- 1.0

Reflux and vein diameters maintained (residual reflux is minimal)

Comparison of Relative Advantages and Disadvantages of Venocuff Valve Repair, SFJ Stripping, Ligation of the SFJ and Stripping of the Long Saphenous Vein

Criterion	Repair	High Ligation of LSV	High Ligation & Stripping
Physiological	Yes	No	No
Abolishes Reflux	Yes	Yes	Yes
Stimulates Collaterals	No	Yes	Yes
Obstructs Non-Diseased Tributaries	No	Yes	Yes
Produces Distal LSV Competence	79%	6% (3)	17% (2)
Applicability	50% of new varicose veins	All but most severe	All
Recurrence Rates	3% @ 5.1 years	18% @ 2.2 years	15% @ 5.1 years
Performed under Local Anaesthetic	Possible	Possible	Not Possible
Return to Work	Early	Early	Later
Patient Discomfort	Minimal	Minimal	Considerable
Patient Acceptability	Very high	High	Poor
Special Application	- Deep Disease - Young Patients - Prior to pregnancy -Co-existing heart disease	Nil	Nil
Applicability in Very Early Disease	Yes	No	No

Angioscopic View of Repaired Venous Valve

Competent Valve following Venocuff Application	Schematic of Venocuff II Valve Repair to Sapheno Femoral Junction

Venocuff Device	Venocuff Device