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Challenging Cases
Rodrigo Kikuchi
Vascular SurgeonVenous Disease Comission - Brazilian Society of Angiology and Vascular Surgery Member SBACV, SBLMC, ABFL, AVF, ACP, SVS, AFI, ASLMS
Vascular Excellence Institute - Londrina/PR - BrazilVascular Excellence São Paulo - São Paulo/SP - Brazil
10 min
Caso 2- venous ulcer for 2 years, GSV insuficiency- GSV diameter: SFJ-proximal thigh 18mm, thigh 9mm, leg 6mm
Caso 2- venous ulcer for 2 years, GSV insuficiency- GSV diameter: SFJ-proximal thigh 18mm, thigh 9mm, leg 6mm
• EV, female, 64 yo, heaviness in legs
• varicose veins, diffuse blue telangiectasias, specially in feet
• CEAP 3s/ VCSS 6
• 2 previous VV surgery, Bilateral GSV stripping
• Duplex scan:
• SVS- Safenectomia magna bilateralmente. DIREITA: Safena parva incompetente até o terço médio da perna drenando o refluxo para varizes. ESQUERDA: 2 perfurantes tibiais posteriores incompetentes na face medial da perna (2.9mm e 3.4mm) gerando varizes
Caso 3
Tratamento
• SSV laser ablation, perforators ablation• Phlebectomy• one liquid sclerotherapy session 2 monts after surgery
+55 (11) 98111-9901
www.excelenciavascular.com.brarea for physicians