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

Dusan Pavcnik, Barry Uchida, John Kaufman, Monica Hinds, Frederick S. Keller, Josef Rösch

Research output: Contribution to journalReview articlepeer-review

48 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)75-84
Number of pages10
JournalVascular Medicine
Volume13
Issue number1
DOIs
StatePublished - 2008

Keywords

  • Chronic venous insufficiency
  • Endovenous treatment
  • Percutaneous venous valve
  • Stents
  • Venous valve transplantation
  • Venous valves

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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