Tags

Type your tag names separated by a space and hit enter

The relationship between the number, competence, and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease.
J Vasc Surg 2000; 32(1):138-43JV

Abstract

PURPOSE

The role of medial calf perforating veins in the pathogenesis of the skin changes of chronic venous insufficiency (CVI) remains controversial. This study examined the relationship between abnormal medial calf perforating vein structure and function and the clinical severity of CVI.

METHODS

Duplex ultrasound was used as a means of determining the number, flow characteristics, and diameter of medial calf perforating veins, and the presence of deep and superficial main stem reflux or occlusion in 50 limbs with no clinical or duplex evidence of venous disease (clinical, etiological, anatomical, and pathological grade [CEAP] 0), 95 limbs with varicose veins only (CEAP 2/3), 58 limbs affected by lipodermatosclerosis but not ulcer (CEAP 4), and 108 limbs affected by healed or open venous ulcer (CEAP 5/6).

RESULTS

The proportion of limbs in which any perforating veins and incompetent perforating veins (IPVs) were demonstrated increased significantly with deteriorating clinical status (CEAP 0, 88% and 6%; CEAP 2/3, 95% and 52%; CEAP 4, 98% and 83%; and CEAP 5/6, 98% and 90%, respectively). The total number of perforators, the total number of IPVs, and the median diameters of perforators increased with deteriorating grade (CEAP 0 median diameter, 2 mm [interquartile range, 1 to 3 mm]; CEAP 2/3 median diameter, 3 mm [interquartile range, 2 to 4 mm]; CEAP 4 median diameter, 4 mm [interquartile range, 3 to 5 mm]; and CEAP 5/6 median diameter, 4 mm [interquartile range, 3 to 5 mm]).

CONCLUSION

The deteriorating CEAP grade of CVI is associated with an increase in the number and diameter of medial calf perforating veins, particularly those permitting bidirectional flow.

Authors+Show Affiliations

University Department of Clinical and Surgical Sciences, Royal Infirmary, Edinburgh, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10876215

Citation

Stuart, W P., et al. "The Relationship Between the Number, Competence, and Diameter of Medial Calf Perforating Veins and the Clinical Status in Healthy Subjects and Patients With Lower-limb Venous Disease." Journal of Vascular Surgery, vol. 32, no. 1, 2000, pp. 138-43.
Stuart WP, Adam DJ, Allan PL, et al. The relationship between the number, competence, and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. J Vasc Surg. 2000;32(1):138-43.
Stuart, W. P., Adam, D. J., Allan, P. L., Ruckley, C. V., & Bradbury, A. W. (2000). The relationship between the number, competence, and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. Journal of Vascular Surgery, 32(1), pp. 138-43.
Stuart WP, et al. The Relationship Between the Number, Competence, and Diameter of Medial Calf Perforating Veins and the Clinical Status in Healthy Subjects and Patients With Lower-limb Venous Disease. J Vasc Surg. 2000;32(1):138-43. PubMed PMID: 10876215.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The relationship between the number, competence, and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. AU - Stuart,W P, AU - Adam,D J, AU - Allan,P L, AU - Ruckley,C V, AU - Bradbury,A W, PY - 2000/7/6/pubmed PY - 2000/8/6/medline PY - 2000/7/6/entrez SP - 138 EP - 43 JF - Journal of vascular surgery JO - J. Vasc. Surg. VL - 32 IS - 1 N2 - PURPOSE: The role of medial calf perforating veins in the pathogenesis of the skin changes of chronic venous insufficiency (CVI) remains controversial. This study examined the relationship between abnormal medial calf perforating vein structure and function and the clinical severity of CVI. METHODS: Duplex ultrasound was used as a means of determining the number, flow characteristics, and diameter of medial calf perforating veins, and the presence of deep and superficial main stem reflux or occlusion in 50 limbs with no clinical or duplex evidence of venous disease (clinical, etiological, anatomical, and pathological grade [CEAP] 0), 95 limbs with varicose veins only (CEAP 2/3), 58 limbs affected by lipodermatosclerosis but not ulcer (CEAP 4), and 108 limbs affected by healed or open venous ulcer (CEAP 5/6). RESULTS: The proportion of limbs in which any perforating veins and incompetent perforating veins (IPVs) were demonstrated increased significantly with deteriorating clinical status (CEAP 0, 88% and 6%; CEAP 2/3, 95% and 52%; CEAP 4, 98% and 83%; and CEAP 5/6, 98% and 90%, respectively). The total number of perforators, the total number of IPVs, and the median diameters of perforators increased with deteriorating grade (CEAP 0 median diameter, 2 mm [interquartile range, 1 to 3 mm]; CEAP 2/3 median diameter, 3 mm [interquartile range, 2 to 4 mm]; CEAP 4 median diameter, 4 mm [interquartile range, 3 to 5 mm]; and CEAP 5/6 median diameter, 4 mm [interquartile range, 3 to 5 mm]). CONCLUSION: The deteriorating CEAP grade of CVI is associated with an increase in the number and diameter of medial calf perforating veins, particularly those permitting bidirectional flow. SN - 0741-5214 UR - https://www.unboundmedicine.com/medline/citation/10876215/The_relationship_between_the_number_competence_and_diameter_of_medial_calf_perforating_veins_and_the_clinical_status_in_healthy_subjects_and_patients_with_lower_limb_venous_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0741-5214(00)38144-7 DB - PRIME DP - Unbound Medicine ER -