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권굉보,서보양,도병수,허영수,서동권 대한혈관외과학회 1992 Vascular Specialist International Vol.8 No.1
The repair of incompetent venous valves using venocuff sleeve is a new, simple technique. The venocuff sleeve is usually implanted around the valve of the saphenofemoral junction in the primary great saphenous varicose vein. The material of venocuff was PTFE(Gore-Tex^(12)), with an average of 1.2-1.5cm in width and 0.5-0.6 cm in diameter. Two hemodynamic tests of venous pressure and photoplethys- mography(PPG) were performed in 13 patients who underwent venocuff sleeve method preand post-operatively. Venous refilling times were checked with superficial venous pressure and PPG, respectively. The average follow up duration was 13 months(1-27 months). The results were as follows: The male to female ratio was 7 to 6 and the average age was 43.2 years with a range of 20∼63 years. The clinical symptoms of venous engorgement(N=12), calf pain(N=3) and tortuous veins(N=4) were all improved after operation, but the swelling(N=2) was improved in one case. The Mean venous pressure refilling times with the superficial venous pressure and PPG were 9.0±1.5 and 8.8±1.1 second at preoperative, 20.5±2.6 and 20.0±3.0 second at postoperative test, respectively(p$lt;0.01). Recurrence was recognized in one patient. In conclusion, treatment of the primary varicose vein using venocuff sleeve may be a simple, less invasive, easy, and effective method that can preserve the valvular competence. The great saphenous vein can also preserve for graft surgery of the coronary and peripheral vessel.