The Procedure Step by Step

Step1


figure_1.jpgVenocuff grasped by right angle forceps after being positioned around SFJ.

Step2


figure_2.jpgFeeding Venocuff belt through buckle.

Step3


figure_3.jpgSuturing through the adventitia of the CFV and the superior aspect of Venocuff belt and buckle.

This fixes the Venocuff in position and at the same time fixes the diameter of the Venocuff. The appropriate phenotypic hole has been determined preoperatively and is positioned under the venocuff buckle.

Step4


figure_4.jpgSuturing through the adventitia of the LSV and the inferior aspect of Venocuff belt and buckle.

Step5


figure_5.jpg Trimming of excess Venocuff belt.

Step6


figure_6.jpgFilling of the LSV below the venocuff during testing of valve.

Step7


figure_7.jpgEmptying of the proximal LSV following milking.