Surgical Technique for Deep Venous Reflux Suppression in Femoral Vein Duplication

EJVES Short Rep. 2016 Feb 19;30:10-12. doi: 10.1016/j.ejvssr.2016.01.001. eCollection 2016.


Background: Deep venous surgery is a challenging field with limited indications. Femoral vein duplication (FVD) is a frequent anatomical variant (55% prevalence). The aim was to describe a simple technique for managing deep venous reflux in FVD, when just one of the two segments exhibits deep venous reflux.

Methods: The technique consists of closing the refluxing femoral branch with a titanium clip. In this way abolition of reflux along the duplicated vessel is achieved, together with the restoration of femoral vein drainage.

Results: The technique is feasible and associated with improvement in limb haemodynamics.

Conclusions: Thanks to the high prevalence of FVD, the proposed technique provides an opportunity to treat a larger number of cases affected by primary or post-thrombotic deep venous reflux.

Keywords: Deep venous surgery; Post-thrombotic syndrome; Reflux; Venous anatomical variants; Venous leg ulcer.