Percutaneous management of chronic deep venous reflux: review of experimental work and early clinical experience with bioprosthetic valve

Abstract Lower extremity chronic deep venous insufficiency (CDVI) is common and remains a major health problem worldwide. Selected patients benefited from direct deep vein valve surgical repair or valve transplantation. A major limitation of this approach is that most of the patients are not candida...

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Veröffentlicht in:Vascular medicine (London, England) England), 2008-02, Vol.13 (1), p.75-84
Hauptverfasser: Pavcnik, Dusan, Uchida, Barry, Kaufman, John, Hinds, Monica, Keller, Frederick S, Rösch, Josef
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container_end_page 84
container_issue 1
container_start_page 75
container_title Vascular medicine (London, England)
container_volume 13
creator Pavcnik, Dusan
Uchida, Barry
Kaufman, John
Hinds, Monica
Keller, Frederick S
Rösch, Josef
description Abstract Lower extremity chronic deep venous insufficiency (CDVI) is common and remains a major health problem worldwide. Selected patients benefited from direct deep vein valve surgical repair or valve transplantation. A major limitation of this approach is that most of the patients are not candidates for these procedures due to obstructions or residual thrombus throughout the vein. The past 15 years have witnessed experimental efforts at catheter-based management of CDVI. This review describes the initial designs and experimental evolution of a mechanical and bioprosthetic venous valve that can be implanted by using a transcatheter technique. These valves consisted of single, double, or triple cusp leaflets made of synthetic or biological materials attached to a carrier or frame. All described devices for percutaneous transcatheter valve placement rely on some form of a vascular stent for valve attachment.
doi_str_mv 10.1177/1358863X07083474
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source MEDLINE; SAGE Complete A-Z List; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Animals
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Bioprosthesis
Blood and lymphatic vessels
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Cardiology. Vascular system
Chronic Disease
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Humans
Lower Extremity - blood supply
Medical sciences
Prosthesis Design
Stents
Treatment Outcome
Veins - transplantation
Venous Insufficiency - surgery
title Percutaneous management of chronic deep venous reflux: review of experimental work and early clinical experience with bioprosthetic valve
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