Surgical Technique for Deep Venous Reflux Suppression in Femoral Vein Duplication

Abstract

: 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, Reflux, Post-thrombotic syndrome, Venous anatomical variants, Venous leg ulcer