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Improvement in deep vein haemodynamics following surgery for varicose veins.
Eur J Vasc Endovasc Surg. 2004 Nov; 28(5):473-8.EJ

Abstract

OBJECTIVE

o analyse the effect of superficial and perforating veins surgery on deep vein incompetence.

METHODS

During a six-month period between 2000 and 2001 24 patients (32 limbs) with chronic venous insufficiency (CVI) were treated. They were selected because they had varicose veins and proximal deep vein incompetence with photoplethysmography (PPG) venous refilling time (VRT) <15 s with a below knee tourniquet, and a femoral or popliteal vein reflux time (RT) >1.5 s on duplex ultrasound. The group was divided according to aetiology into 21 legs with primary (Ep) and 11 with secondary CVI (Es). All patients underwent removal of varices with stripping of the saphenous veins, if appropriate. In 21 cases subfascial endoscopic perforating vein surgery (SEPS) was performed to ligate incompetent perforating veins.

RESULTS

The average VRT for the entire group increased from 9.8 s before to 15 s after operation (p<0.001, paired t test). In the Ep group the average VRT increased from 11 to 18 s (p<0.001, paired t test), in Es group from 7.5 to 10 s (p>0.001, paired t test). Duplex ultrasonography before surgery showed femoral vein incompetence in 28 and the popliteal incompetence in 26 cases. The average femoral vein RT was 1.9 s before and 1.4 s after surgery (p<0.001, paired t test). The femoral RT in the Ep group decreased from 1.9 to 1.3 s (p<0.001, paired t test) and in the Es group from 1.9 to 1.6 s (N.S.). In the popliteal vein, RT was 1.8 s before, and 1.3 s after surgery (p<0.001, paired t test). The RT in the Ep group shortened from 1.8 to 1.1 s (p<0.001 paired t test) and in the Es group from 1.9 to 1.5 s (N.S.).

CONCLUSION

Surgical treatment of varicose veins and of calf perforators results in reduced deep vein reflux. The improvement is most marked in cases of primary venous insufficiency.

Authors+Show Affiliations

Second Medical Division, First Department and Chair of General and Vascular Surgery, Warsaw Medical Academy, Warsaw, Poland. ciostek@amwaw.edu.plNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15465367

Citation

Ciostek, P, et al. "Improvement in Deep Vein Haemodynamics Following Surgery for Varicose Veins." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 28, no. 5, 2004, pp. 473-8.
Ciostek P, Michalak J, Noszczyk W. Improvement in deep vein haemodynamics following surgery for varicose veins. Eur J Vasc Endovasc Surg. 2004;28(5):473-8.
Ciostek, P., Michalak, J., & Noszczyk, W. (2004). Improvement in deep vein haemodynamics following surgery for varicose veins. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 28(5), 473-8.
Ciostek P, Michalak J, Noszczyk W. Improvement in Deep Vein Haemodynamics Following Surgery for Varicose Veins. Eur J Vasc Endovasc Surg. 2004;28(5):473-8. PubMed PMID: 15465367.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improvement in deep vein haemodynamics following surgery for varicose veins. AU - Ciostek,P, AU - Michalak,J, AU - Noszczyk,W, PY - 2004/06/15/accepted PY - 2004/10/7/pubmed PY - 2005/4/1/medline PY - 2004/10/7/entrez SP - 473 EP - 8 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 - 5 N2 - OBJECTIVE: o analyse the effect of superficial and perforating veins surgery on deep vein incompetence. METHODS: During a six-month period between 2000 and 2001 24 patients (32 limbs) with chronic venous insufficiency (CVI) were treated. They were selected because they had varicose veins and proximal deep vein incompetence with photoplethysmography (PPG) venous refilling time (VRT) <15 s with a below knee tourniquet, and a femoral or popliteal vein reflux time (RT) >1.5 s on duplex ultrasound. The group was divided according to aetiology into 21 legs with primary (Ep) and 11 with secondary CVI (Es). All patients underwent removal of varices with stripping of the saphenous veins, if appropriate. In 21 cases subfascial endoscopic perforating vein surgery (SEPS) was performed to ligate incompetent perforating veins. RESULTS: The average VRT for the entire group increased from 9.8 s before to 15 s after operation (p<0.001, paired t test). In the Ep group the average VRT increased from 11 to 18 s (p<0.001, paired t test), in Es group from 7.5 to 10 s (p>0.001, paired t test). Duplex ultrasonography before surgery showed femoral vein incompetence in 28 and the popliteal incompetence in 26 cases. The average femoral vein RT was 1.9 s before and 1.4 s after surgery (p<0.001, paired t test). The femoral RT in the Ep group decreased from 1.9 to 1.3 s (p<0.001, paired t test) and in the Es group from 1.9 to 1.6 s (N.S.). In the popliteal vein, RT was 1.8 s before, and 1.3 s after surgery (p<0.001, paired t test). The RT in the Ep group shortened from 1.8 to 1.1 s (p<0.001 paired t test) and in the Es group from 1.9 to 1.5 s (N.S.). CONCLUSION: Surgical treatment of varicose veins and of calf perforators results in reduced deep vein reflux. The improvement is most marked in cases of primary venous insufficiency. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/15465367/Improvement_in_deep_vein_haemodynamics_following_surgery_for_varicose_veins_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S107858840400293X DB - PRIME DP - Unbound Medicine ER -