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Correlation of perforating vein incompetence with extent of great saphenous insufficiency: cross sectional study.
Croat Med J 2005; 46(2):245-51CM

Abstract

AIM

To explore the correlation between perforating vein incompetence and the extent of great saphenous vein insufficiency according to Hach.

METHODS

Duplex ultrasound was used to determine the number of incompetent perforators and diameter of perforating veins, and the level of great saphenous vein reflux and the presence or absence of deep reflux in 118 lower limbs (59 patients). There were 19 limbs with no clinical evidence of venous disease (CEAP - clinical, etiological, anatomical, pathological grade 0), 16 limbs with telangiectasias only (CEAP grade 1), 36 limbs with varicose veins (CEAP 2), 26 limbs with edema (CEAP 3), and 21 limb affected with lipodermatosclerosis but not ulcer (CEAP 4).

RESULTS

Both the number of incompetent perforators and the average diameter of duplex detectable perforators per limb correlated significantly with the extent of great saphenous vein insufficiency (Pearson correlation coefficients were 0.55 and 0.44, respectively; P<0.001 for both). The number of incompetent perforators and the average diameter of perforators per limb were significantly higher with the deteriorating CEAP grade (Kruskal-Wallis H test; P<0.001). The mean number of incompetent perforators per limb did not differ significantly in the absence or presence of deep reflux (0.8-/+1.26 vs 1.3-/+1.6, t test, P=0.172), the average diameter of perforators per limb was higher in the presence of deep reflux (2.4-/+2 mm vs 3.7-/+1.1 mm, t test, P=0.023).

CONCLUSION

The extent of great saphenous vein insufficiency correlated with an increase in the number and the diameter of perforators. The perforators' association with deep venous reflux was much poorer. Clinical presentation worsened with the deteriorating duplex signs of perforators' incompetence.

Authors+Show Affiliations

Department of Radiology, Holy Ghost General Hospital, Sveti Duh 64, 10000 Zagreb, Croatia., anton.krnic@zg.t-com.hrNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15849846

Citation

Krnić, Anton, et al. "Correlation of Perforating Vein Incompetence With Extent of Great Saphenous Insufficiency: Cross Sectional Study." Croatian Medical Journal, vol. 46, no. 2, 2005, pp. 245-51.
Krnić A, Vucić N, Sucić Z. Correlation of perforating vein incompetence with extent of great saphenous insufficiency: cross sectional study. Croat Med J. 2005;46(2):245-51.
Krnić, A., Vucić, N., & Sucić, Z. (2005). Correlation of perforating vein incompetence with extent of great saphenous insufficiency: cross sectional study. Croatian Medical Journal, 46(2), pp. 245-51.
Krnić A, Vucić N, Sucić Z. Correlation of Perforating Vein Incompetence With Extent of Great Saphenous Insufficiency: Cross Sectional Study. Croat Med J. 2005;46(2):245-51. PubMed PMID: 15849846.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation of perforating vein incompetence with extent of great saphenous insufficiency: cross sectional study. AU - Krnić,Anton, AU - Vucić,Niksa, AU - Sucić,Zvonimir, PY - 2005/4/26/pubmed PY - 2005/6/25/medline PY - 2005/4/26/entrez SP - 245 EP - 51 JF - Croatian medical journal JO - Croat. Med. J. VL - 46 IS - 2 N2 - AIM: To explore the correlation between perforating vein incompetence and the extent of great saphenous vein insufficiency according to Hach. METHODS: Duplex ultrasound was used to determine the number of incompetent perforators and diameter of perforating veins, and the level of great saphenous vein reflux and the presence or absence of deep reflux in 118 lower limbs (59 patients). There were 19 limbs with no clinical evidence of venous disease (CEAP - clinical, etiological, anatomical, pathological grade 0), 16 limbs with telangiectasias only (CEAP grade 1), 36 limbs with varicose veins (CEAP 2), 26 limbs with edema (CEAP 3), and 21 limb affected with lipodermatosclerosis but not ulcer (CEAP 4). RESULTS: Both the number of incompetent perforators and the average diameter of duplex detectable perforators per limb correlated significantly with the extent of great saphenous vein insufficiency (Pearson correlation coefficients were 0.55 and 0.44, respectively; P<0.001 for both). The number of incompetent perforators and the average diameter of perforators per limb were significantly higher with the deteriorating CEAP grade (Kruskal-Wallis H test; P<0.001). The mean number of incompetent perforators per limb did not differ significantly in the absence or presence of deep reflux (0.8-/+1.26 vs 1.3-/+1.6, t test, P=0.172), the average diameter of perforators per limb was higher in the presence of deep reflux (2.4-/+2 mm vs 3.7-/+1.1 mm, t test, P=0.023). CONCLUSION: The extent of great saphenous vein insufficiency correlated with an increase in the number and the diameter of perforators. The perforators' association with deep venous reflux was much poorer. Clinical presentation worsened with the deteriorating duplex signs of perforators' incompetence. SN - 0353-9504 UR - https://www.unboundmedicine.com/medline/citation/15849846/Correlation_of_perforating_vein_incompetence_with_extent_of_great_saphenous_insufficiency:_cross_sectional_study_ L2 - http://www.cmj.hr/2005/46/2/15849846.pdf DB - PRIME DP - Unbound Medicine ER -