A study to evaluate patterns of superficial venous reflux in patients with primary chronic venous disease
| Autor: | Andrew MacDonald, M. Ellis, Mahim I Qureshi, Chung S. Lim, Manj S. Gohel, Louise Wing, Ian J. Franklin, Alun H. Davies |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Duplex ultrasonography Adolescent Humans Medicine Saphenous Vein In patient Aged Retrospective Studies Ultrasonography Aged 80 and over Leg business.industry Reflux General Medicine Middle Aged Surgery Venous Insufficiency Chronic Disease Venous reflux Female Cardiology and Cardiovascular Medicine business Venous disease Lower limbs venous ultrasonography |
| Zdroj: | Phlebology: The Journal of Venous Disease. 30:455-461 |
| ISSN: | 1758-1125 0268-3555 |
| DOI: | 10.1177/0268355514536384 |
| Popis: | Objective This study assessed patterns of superficial reflux in patients with primary chronic venous disease. Methods Retrospective review of all patient venous duplex ultrasonography reports at one institution between 2000 and 2009. Legs with secondary, deep or no superficial reflux were excluded. Results In total, 8654 limbs were scanned; 2559 legs from 2053 patients (mean age 52.3 years) were included for analysis. Great saphenous vein reflux predominated (68%), followed by combined great saphenous vein/small saphenous vein reflux (20%) and small saphenous vein reflux (7%). The majority of legs with competent saphenofemoral junction had below-knee great saphenous vein reflux (53%); incompetent saphenofemoral junction was associated with combined above and below-knee great saphenous vein reflux (72%). Isolated small saphenous vein reflux was associated with saphenopopliteal junction incompetence (61%), although the majority of all small saphenous vein reflux limbs had a competent saphenopopliteal junction (57%). Conclusion Superficial venous reflux does not necessarily originate from a saphenous junction. Large prospective studies with interval duplex ultrasonography are required to unravel the natural history of primary chronic venous disease. |
| Databáze: | OpenAIRE |
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