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{{Multiple issues|{{confusing|date=July 2014|reason=Much more detail is needed to explain significance of this device and how/when it is used}}}}
{{confusing|date=July 2014|reason=Much more detail is needed to explain significance of this device and how/when it is used}}


A '''valvulotome''' is a medical device used to destroy the [[venous valves]] in especially the great saphenous vein to allow for arterial flow.
A '''valvulotome''' is a medical device used to destroy the [[venous valves]] in especially the great saphenous vein to allow for arterial flow.


Since the leg veins usually contain a number of valves that direct flow towards the heart, they cannot directly be used as graft, but if vein valves are removed the arterial blood can flow via the [[Great saphenous vein|GSV]] to the lower leg - this is called an in situ graft procedure, a type of [[vascular bypass]].
Since the leg veins usually contain a number of valves that direct flow towards the heart, they cannot directly be used as graft, but if vein valves are removed the arterial blood can flow via the [[Great saphenous vein|GSV]] to the lower leg - this is called an in situ graft procedure, a type of [[vascular bypass]].
<ref> Donaldson MC1, Mannick JA, Whittemore AD.
<ref>Donaldson MC1, Mannick JA, Whittemore AD.
Femoral-distal bypass with in situ greater saphenous vein. Long-term results using the Mills valvulotome.
Femoral-distal bypass with in situ greater saphenous vein. Long-term results using the Mills valvulotome.
Ann Surg. 1991 May;213(5):457-64; discussion 464-5.
Ann Surg. 1991 May;213(5):457-64; discussion 464-5.
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Cardiovasc Surg. 1995 Apr;3(2):193-7.
Cardiovasc Surg. 1995 Apr;3(2):193-7.
</ref>
</ref>

==References==
{{Reflist}}

[[Category:Medical devices]]
[[Category:Medical devices]]



{{medical-equipment-stub}}
{{medical-equipment-stub}}

Revision as of 06:27, 26 November 2015

A valvulotome is a medical device used to destroy the venous valves in especially the great saphenous vein to allow for arterial flow.

Since the leg veins usually contain a number of valves that direct flow towards the heart, they cannot directly be used as graft, but if vein valves are removed the arterial blood can flow via the GSV to the lower leg - this is called an in situ graft procedure, a type of vascular bypass. [1] [2]

References

  1. ^ Donaldson MC1, Mannick JA, Whittemore AD. Femoral-distal bypass with in situ greater saphenous vein. Long-term results using the Mills valvulotome. Ann Surg. 1991 May;213(5):457-64; discussion 464-5.
  2. ^ Dardik H1, Vazquez R, Silvestri F, Ibrahim IM, Sussman B, Kahn M, Wolodiger F. Experience with a new valvulotome for lower-extremity revascularization procedures by the in situ method. Cardiovasc Surg. 1995 Apr;3(2):193-7.