Reduction internal valvuloplasty is a new technical improvement on plication internal valvuloplasty for primary deep vein valvular incompetence

The RIVAL technique represents a significant advancement over the traditional existing valve plication techniques. It enables accurate anatomic fashioning and suturing of valve cusps and results in excellent competency and ulcer healing rates with fewer complications in our early experience. Further follow-up is anticipated to define its long-term role in the management of C6 venous disease.