Abstract:
:The authors encountered a forty-nine-year-old man with a lower limb ulcer refractory to intensive conservative therapy. No varicose vein was found anywhere, and the usual phlebographies and foot venous pressure measurement failed to diagnose it as a venous stasis ulcer. A direct phlebography method developed by the authors, in which a thin catheter is inserted into the deep vein, disclosed a reflux of the popliteal vein or a deep muscle branch from which an incompetent perforator arose toward the superficial vein above the ulcer. Air plethysmography (APG) showed a severe impairment of the calf muscle pump function. He underwent a subfascial ligation of two incompetent perforators together with a stripping of the great saphenous vein passing under the ulcer. Postoperatively, this ulcer was cured in an early phase, and the calf muscle pump function showed improvement in the APG.
journal_name
Angiologyjournal_title
Angiologyauthors
Sugimoto T,Okada M,Fukuoka M,Uematsu M,Yoshida M,Toyama Hdoi
10.1177/000331979604701208subject
Has Abstractpub_date
1996-12-01 00:00:00pages
1167-71issue
12eissn
0003-3197issn
1940-1574journal_volume
47pub_type
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