Tags

Type your tag names separated by a space and hit enter

Most incompetent calf perforating veins are found in association with superficial venous reflux.
J Vasc Surg. 2001 Nov; 34(5):774-8.JV

Abstract

PURPOSE

The indications for surgical perforator interruption remain undefined. Previous work has demonstrated an association between clinical status and the number of incompetent perforating veins (IPVs). Other studies have demonstrated that correction of IPV physiology results from abolition of saphenous system reflux. The purpose of this study was to identify which, if any, patterns of venous reflux and obstruction are particularly associated with IPV.

PATIENTS AND METHODS

Two hundred thirty patients and subjects (103 men, 127 women, 308 limbs) with varying grades of venous disease were examined both clinically and with duplex ultrasound scan. The odds ratios (ORs) for the presence of IPVs were calculated for different anatomical distributions of main-stem venous reflux and obstruction. The base group are those with no main-stem venous disease.

RESULTS

There were no significant associations between the proportions of limbs demonstrating IPVs and patient age or sex. The ORs for the presence of IPVs in association with other venous disease are as follows (age/sex adjusted): long saphenous vein reflux, OR = 1.86, range = 1.32-2.63; short saphenous vein reflux, OR = 1.36, range = 1.02-1.82; deep system venous reflux, OR = 1.61, range = 1.2-2.15; superficial system reflux, OR = 3.17, range = 1.87-5.4; and deep system obstruction, OR = 1.09, range = 0.51-2.33. The ORs for combinations of venous disorders were calculated. Combinations of disease produced higher odds for the presence of IPVs than those above, the highest being long saphenous vein, short saphenous vein, and deep reflux combined, OR = 6.85 (95% CI, 2.97-15.83; P =.0001).

CONCLUSIONS

Although the presence of IPVs is associated with venous ulceration, the highest ORs for the presence of IPVs were found in patients with superficial disease alone or in combination with deep reflux. Many of these may be corrected by saphenous surgery alone.

Links

Aggregator Full Text
Publisher Full Text
linkinghub.elsevier.com
linkinghub.elsevier.com

Authors+Show Affiliations

Stuart WP
Vascular Surgery Unit, Royal Infirmary, Edinburgh, United Kingdom. wesley.stuart@talk21.com
Lee AJ
No affiliation info available
Allan PL
No affiliation info available
Ruckley CV
No affiliation info available
Bradbury AW
No affiliation info available

MeSH

FemaleHumansLegMaleMiddle AgedRegional Blood FlowSaphenous VeinUltrasonography, Doppler, DuplexVenous Insufficiency

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11700474

Citation

Stuart, W P., et al. "Most Incompetent Calf Perforating Veins Are Found in Association With Superficial Venous Reflux." Journal of Vascular Surgery, vol. 34, no. 5, 2001, pp. 774-8.
Stuart WP, Lee AJ, Allan PL, et al. Most incompetent calf perforating veins are found in association with superficial venous reflux. J Vasc Surg. 2001;34(5):774-8.
Stuart, W. P., Lee, A. J., Allan, P. L., Ruckley, C. V., & Bradbury, A. W. (2001). Most incompetent calf perforating veins are found in association with superficial venous reflux. Journal of Vascular Surgery, 34(5), 774-8.
Stuart WP, et al. Most Incompetent Calf Perforating Veins Are Found in Association With Superficial Venous Reflux. J Vasc Surg. 2001;34(5):774-8. PubMed PMID: 11700474.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Most incompetent calf perforating veins are found in association with superficial venous reflux. AU - Stuart,W P, AU - Lee,A J, AU - Allan,P L, AU - Ruckley,C V, AU - Bradbury,A W, PY - 2001/11/9/pubmed PY - 2002/1/5/medline PY - 2001/11/9/entrez SP - 774 EP - 8 JF - Journal of vascular surgery JO - J Vasc Surg VL - 34 IS - 5 N2 - PURPOSE: The indications for surgical perforator interruption remain undefined. Previous work has demonstrated an association between clinical status and the number of incompetent perforating veins (IPVs). Other studies have demonstrated that correction of IPV physiology results from abolition of saphenous system reflux. The purpose of this study was to identify which, if any, patterns of venous reflux and obstruction are particularly associated with IPV. PATIENTS AND METHODS: Two hundred thirty patients and subjects (103 men, 127 women, 308 limbs) with varying grades of venous disease were examined both clinically and with duplex ultrasound scan. The odds ratios (ORs) for the presence of IPVs were calculated for different anatomical distributions of main-stem venous reflux and obstruction. The base group are those with no main-stem venous disease. RESULTS: There were no significant associations between the proportions of limbs demonstrating IPVs and patient age or sex. The ORs for the presence of IPVs in association with other venous disease are as follows (age/sex adjusted): long saphenous vein reflux, OR = 1.86, range = 1.32-2.63; short saphenous vein reflux, OR = 1.36, range = 1.02-1.82; deep system venous reflux, OR = 1.61, range = 1.2-2.15; superficial system reflux, OR = 3.17, range = 1.87-5.4; and deep system obstruction, OR = 1.09, range = 0.51-2.33. The ORs for combinations of venous disorders were calculated. Combinations of disease produced higher odds for the presence of IPVs than those above, the highest being long saphenous vein, short saphenous vein, and deep reflux combined, OR = 6.85 (95% CI, 2.97-15.83; P =.0001). CONCLUSIONS: Although the presence of IPVs is associated with venous ulceration, the highest ORs for the presence of IPVs were found in patients with superficial disease alone or in combination with deep reflux. Many of these may be corrected by saphenous surgery alone. SN - 0741-5214 UR - https://www.unboundmedicine.com/medline/citation/11700474/Most_incompetent_calf_perforating_veins_are_found_in_association_with_superficial_venous_reflux_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0741-5214(01)26950-X DB - PRIME DP - Unbound Medicine ER -