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Prevalence of varicose veins and venous anatomy in patients without truncal saphenous reflux.
Eur J Vasc Endovasc Surg. 2004 Oct; 28(4):387-90.EJ

Abstract

OBJECTIVES

To determine the prevalence and distribution of primary venous reflux in the lower limbs in patients without truncal saphenous reflux.

DESIGN

Prospective cohort study.

PATIENTS AND METHODS

One thousand and seven hundred and twelve patients with suspected venous disease were examined by duplex ultrasonography. Seven hundred and thirty-five patients had primary varicose veins with competent saphenous trunks. Limbs with truncal saphenous reflux, deep vein reflux or obstruction, previous injection sclerotherapy or vein surgery, arterial disease and inflammation of non-venous origin were excluded from further consideration. The CEAP classification system was used for clinical staging. Systematic duplex ultrasound examination was undertaken to assess the distribution of incompetent saphenous tributaries.

RESULTS

The prevalence of primary reflux with competent saphenous trunks was 43%. Reflux of GSV calf tributaries was the most common. The majority of the limbs (96%) belonged to chronic venous disease classes C1 and C2 of the CEAP classification.

CONCLUSIONS

Superficial venous reflux causing varicose veins in the presence competent saphenous trunks is very prevalent in this series in contrast to other studies, presumably reflecting differing patient populations. Our data clearly show that varicose veins may occur in any vein and do not depend on truncal saphenous incompetence. Careful duplex ultrasound evaluation allows the pattern of venous reflux to be established in this group of patient ensuring appropriate management of varices.

Authors+Show Affiliations

Maringá State University, Maringá, Rua Gerardo Braga, 118 CEP 87050-610-Maringá, Paraná, PR, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

15350560

Citation

Seidel, A C., et al. "Prevalence of Varicose Veins and Venous Anatomy in Patients Without Truncal Saphenous Reflux." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 28, no. 4, 2004, pp. 387-90.
Seidel AC, Miranda F, Juliano Y, et al. Prevalence of varicose veins and venous anatomy in patients without truncal saphenous reflux. Eur J Vasc Endovasc Surg. 2004;28(4):387-90.
Seidel, A. C., Miranda, F., Juliano, Y., Novo, N. F., dos Santos, J. H., & de Souza, D. F. (2004). Prevalence of varicose veins and venous anatomy in patients without truncal saphenous reflux. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 28(4), 387-90.
Seidel AC, et al. Prevalence of Varicose Veins and Venous Anatomy in Patients Without Truncal Saphenous Reflux. Eur J Vasc Endovasc Surg. 2004;28(4):387-90. PubMed PMID: 15350560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of varicose veins and venous anatomy in patients without truncal saphenous reflux. AU - Seidel,A C, AU - Miranda,F,Jr AU - Juliano,Y, AU - Novo,N F, AU - dos Santos,J H, AU - de Souza,D F, PY - 2004/06/15/accepted PY - 2004/9/8/pubmed PY - 2004/11/9/medline PY - 2004/9/8/entrez SP - 387 EP - 90 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 - 28 IS - 4 N2 - OBJECTIVES: To determine the prevalence and distribution of primary venous reflux in the lower limbs in patients without truncal saphenous reflux. DESIGN: Prospective cohort study. PATIENTS AND METHODS: One thousand and seven hundred and twelve patients with suspected venous disease were examined by duplex ultrasonography. Seven hundred and thirty-five patients had primary varicose veins with competent saphenous trunks. Limbs with truncal saphenous reflux, deep vein reflux or obstruction, previous injection sclerotherapy or vein surgery, arterial disease and inflammation of non-venous origin were excluded from further consideration. The CEAP classification system was used for clinical staging. Systematic duplex ultrasound examination was undertaken to assess the distribution of incompetent saphenous tributaries. RESULTS: The prevalence of primary reflux with competent saphenous trunks was 43%. Reflux of GSV calf tributaries was the most common. The majority of the limbs (96%) belonged to chronic venous disease classes C1 and C2 of the CEAP classification. CONCLUSIONS: Superficial venous reflux causing varicose veins in the presence competent saphenous trunks is very prevalent in this series in contrast to other studies, presumably reflecting differing patient populations. Our data clearly show that varicose veins may occur in any vein and do not depend on truncal saphenous incompetence. Careful duplex ultrasound evaluation allows the pattern of venous reflux to be established in this group of patient ensuring appropriate management of varices. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/15350560/Prevalence_of_varicose_veins_and_venous_anatomy_in_patients_without_truncal_saphenous_reflux_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078588404002916 DB - PRIME DP - Unbound Medicine ER -