[Significance of retrograde blood flow in the posterior tibial and deep plantar veins of the foot in the pathogenesis of decompensated varicose disease].

An examination of 91 patients with varicosities of the lower extremity veins at different stages of the disease was carried out in order to find out the retrograde blood flow in deep veins of the shin and foot by means of the retrograde popliteal and talocrural phlebography. The investigation performed allowed a conclusion of an important pathogenetical role of the retrograde blood flow in deep veins of the shin and foot in genesis of trophic cutaneous disorders. Endovascular occlusion of the posterior tibial veins after A.N. Vedensky was fulfilled in 32 patients with trophic cutaneous disorders along with a correction of the pathological blood flow along the superficial veins. An analysis of long-term results of the treatment has shown that this kind of operative interventions is an adequate method for correction of the hemodynamic disorders in question at the decompensation stage of the disease.