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Patterns of reflux and severity of varicose veins in the general population--Edinburgh Vein Study.
Eur J Vasc Endovasc Surg 2000; 20(5):470-7EJ

Abstract

OBJECTIVES

several studies have used duplex ultrasound to assess valvular incompetence in symptomatic patients. This cross-sectional survey was performed to determine, for the first time in a general population sample, the relationship between trunk varices and the presence of reflux in lower limb venous segments.

MATERIALS AND METHODS

1238 subjects (554 male, 684 female), aged 18-64 years, were randomly selected. The presence and severity of any trunk varices was assessed and classified into Grades 1-3; hyphenweb and reticular varices were noted. The presence or absence of reflux > or = 0.5 s in five deep and three superficial venous segments in each leg was assessed using duplex ultrasound.

RESULTS

the prevalence of reflux increased in both superficial and deep segments with more severe grades of trunk varices (p< or = 0.01), except the upper SFV in women. Fifteen per cent of females showed reflux confined to the superficial system, compared with 9% of males (p< or = 0.001); 22% of males showed deep reflux, compared with 11% of females (p < or = 0.001). 71% of men and 48% of women with Grade 2-3 trunk varices had mixed deep and superficial reflux. Above-knee popliteal segments had a higher prevalence of reflux than lower SFV segments in all groups. There was no consistent relationship between the presence of hyphenweb or reticular varices and deep or superficial reflux.

CONCLUSION

segmental venous reflux can be detected in the deep and superficial leg veins of subjects without trunk varices, but superficial and mixed reflux are increasingly found in subjects with more severe varices.

Authors+Show Affiliations

Department of Medical Radiology, Royal Infirmary, Edinburgh, EH3 9YW, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11112468

Citation

Allan, P L., et al. "Patterns of Reflux and Severity of Varicose Veins in the General population--Edinburgh Vein Study." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 20, no. 5, 2000, pp. 470-7.
Allan PL, Bradbury AW, Evans CJ, et al. Patterns of reflux and severity of varicose veins in the general population--Edinburgh Vein Study. Eur J Vasc Endovasc Surg. 2000;20(5):470-7.
Allan, P. L., Bradbury, A. W., Evans, C. J., Lee, A. J., Vaughan Ruckley, C., & Fowkes, F. G. (2000). Patterns of reflux and severity of varicose veins in the general population--Edinburgh Vein Study. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 20(5), pp. 470-7.
Allan PL, et al. Patterns of Reflux and Severity of Varicose Veins in the General population--Edinburgh Vein Study. Eur J Vasc Endovasc Surg. 2000;20(5):470-7. PubMed PMID: 11112468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patterns of reflux and severity of varicose veins in the general population--Edinburgh Vein Study. AU - Allan,P L, AU - Bradbury,A W, AU - Evans,C J, AU - Lee,A J, AU - Vaughan Ruckley,C, AU - Fowkes,F G, PY - 2000/12/9/pubmed PY - 2001/3/3/medline PY - 2000/12/9/entrez SP - 470 EP - 7 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 20 IS - 5 N2 - OBJECTIVES: several studies have used duplex ultrasound to assess valvular incompetence in symptomatic patients. This cross-sectional survey was performed to determine, for the first time in a general population sample, the relationship between trunk varices and the presence of reflux in lower limb venous segments. MATERIALS AND METHODS: 1238 subjects (554 male, 684 female), aged 18-64 years, were randomly selected. The presence and severity of any trunk varices was assessed and classified into Grades 1-3; hyphenweb and reticular varices were noted. The presence or absence of reflux > or = 0.5 s in five deep and three superficial venous segments in each leg was assessed using duplex ultrasound. RESULTS: the prevalence of reflux increased in both superficial and deep segments with more severe grades of trunk varices (p< or = 0.01), except the upper SFV in women. Fifteen per cent of females showed reflux confined to the superficial system, compared with 9% of males (p< or = 0.001); 22% of males showed deep reflux, compared with 11% of females (p < or = 0.001). 71% of men and 48% of women with Grade 2-3 trunk varices had mixed deep and superficial reflux. Above-knee popliteal segments had a higher prevalence of reflux than lower SFV segments in all groups. There was no consistent relationship between the presence of hyphenweb or reticular varices and deep or superficial reflux. CONCLUSION: segmental venous reflux can be detected in the deep and superficial leg veins of subjects without trunk varices, but superficial and mixed reflux are increasingly found in subjects with more severe varices. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/11112468/Patterns_of_reflux_and_severity_of_varicose_veins_in_the_general_population__Edinburgh_Vein_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078588400912231 DB - PRIME DP - Unbound Medicine ER -