What is the role of valvuloplasty in the treatment of venous insufficiency?

Updated: Oct 22, 2018
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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Answer

Valvuloplasty is reserved for patients with a congenital absence of functional valves. A phlebotomy is performed, and the valve cusps are plicated. To ensure an adequate result, plicating 20-25% of each cusp is recommended. Addition of a PTFE sleeve around the operating site to maintain valve integrity is routine. When combined with ligation of perforating veins, valvuloplasty yields a superior outcome in 80% of cases after 5 years.


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