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Perforation of a vein valve leaflet: A mechanism for incomplete valve incision during in situ bypass
Journal article   Open access   Peer reviewed

Perforation of a vein valve leaflet: A mechanism for incomplete valve incision during in situ bypass

Michael J Worsey, William J Sharp and John D Corson
Journal of vascular surgery, Vol.16(2), pp.290-292
08/1992
DOI: 10.1016/0741-5214(92)90121-N
PMID: 1495153
url
https://doi.org/10.1016/0741-5214(92)90121-NView
Published (Version of record) Open Access

Abstract

The modified Mills retrograde valvulotome has been our preferred instrument for valve incision for in situ saphenous vein bypass. In one case during completion angioscopy the valvulotome was identified to have perforated a posterior valve leaflet and left the leaflet intact. This intact leaflet was identified and incised under direct vision. Valve leaflet perforation by the valvulotome tip is proposed as one possible mechanism for incomplete valve lysis.

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