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Clinical significance of ostial great saphenous vein reflux.
Eur J Vasc Endovasc Surg. 2006 Mar; 31(3):320-4.EJ

Abstract

PURPOSE

To evaluate anatomical and haemodynamic differences in patients with great saphenous vein (GSV) insufficiency by duplex scanning and air plethysmography.

MATERIAL AND METHODS

Duplex scanning and air plethysmography examination were undertaken. One hundred and twenty-one limbs in 91 patients were selected prospectively and divided into three groups: group A consisted of 27 controls; group B consisted of 25 limbs with GSV reflux and normal saphenous femoral junction (SFJ) and group C consisted of 69 limbs of patients with GSV and SFJ reflux. The presence of reflux and GSV diameter (SFJ, proximal and medial thirds of the thigh, the knee and medial and distal thirds of the calf) were assessed by duplex scanning. Air plethysmography was used to evaluate haemodynamic parameters: total venous volume (VV), venous filling index (VFI), residual volume fraction (RVF) and ejection fraction (EF).

RESULTS

There was a significant difference in GSV diameter among the three groups in almost all segments evaluated (e.g. medial thigh group A = 2.4 SD 0.3 mm; B = 3.2 SD 0.7 mm; C = 5.9 SD 2.2mm p<0.001, Anova). A significant difference in VFI was found among the groups (group A = 1.2 SD 0.5; B = 2.0 SD 1.4; C = 4.0 SD 2.5 p<0.05, Anova). VV was statistical different between groups A and C (p = 0.004) and B and C(p = 0.03). EF and RVF were comparable in all groups. The VFI was normal in 68% in group B comparing with only 14.5% in group C patients, finding a reflux more than 5ml/s (determined by VFI) in 26.1% of the group C patients, comparing with only 4% of group B patients (p<0.05).

CONCLUSION

We have shown that in patients with GSV reflux those with incompetence of the ostial valve of the GSV show greater venous reflux and dilatation of the saphenous trunk than those in whom the ostial valve is competent.

Authors+Show Affiliations

Ecoar-Noninvasive Diagnostic Medicine, Brazil. marciovlbarros@uol.com.brNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16226897

Citation

Barros, M V L., et al. "Clinical Significance of Ostial Great Saphenous Vein Reflux." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 31, no. 3, 2006, pp. 320-4.
Barros MV, Labropoulos N, Ribeiro AL, et al. Clinical significance of ostial great saphenous vein reflux. Eur J Vasc Endovasc Surg. 2006;31(3):320-4.
Barros, M. V., Labropoulos, N., Ribeiro, A. L., Okawa, R. Y., & Machado, F. S. (2006). Clinical significance of ostial great saphenous vein reflux. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 31(3), 320-4.
Barros MV, et al. Clinical Significance of Ostial Great Saphenous Vein Reflux. Eur J Vasc Endovasc Surg. 2006;31(3):320-4. PubMed PMID: 16226897.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical significance of ostial great saphenous vein reflux. AU - Barros,M V L, AU - Labropoulos,N, AU - Ribeiro,A L P, AU - Okawa,R Y, AU - Machado,F S, Y1 - 2005/10/14/ PY - 2005/02/26/received PY - 2005/08/14/accepted PY - 2005/10/18/pubmed PY - 2006/4/28/medline PY - 2005/10/18/entrez SP - 320 EP - 4 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 - 31 IS - 3 N2 - PURPOSE: To evaluate anatomical and haemodynamic differences in patients with great saphenous vein (GSV) insufficiency by duplex scanning and air plethysmography. MATERIAL AND METHODS: Duplex scanning and air plethysmography examination were undertaken. One hundred and twenty-one limbs in 91 patients were selected prospectively and divided into three groups: group A consisted of 27 controls; group B consisted of 25 limbs with GSV reflux and normal saphenous femoral junction (SFJ) and group C consisted of 69 limbs of patients with GSV and SFJ reflux. The presence of reflux and GSV diameter (SFJ, proximal and medial thirds of the thigh, the knee and medial and distal thirds of the calf) were assessed by duplex scanning. Air plethysmography was used to evaluate haemodynamic parameters: total venous volume (VV), venous filling index (VFI), residual volume fraction (RVF) and ejection fraction (EF). RESULTS: There was a significant difference in GSV diameter among the three groups in almost all segments evaluated (e.g. medial thigh group A = 2.4 SD 0.3 mm; B = 3.2 SD 0.7 mm; C = 5.9 SD 2.2mm p<0.001, Anova). A significant difference in VFI was found among the groups (group A = 1.2 SD 0.5; B = 2.0 SD 1.4; C = 4.0 SD 2.5 p<0.05, Anova). VV was statistical different between groups A and C (p = 0.004) and B and C(p = 0.03). EF and RVF were comparable in all groups. The VFI was normal in 68% in group B comparing with only 14.5% in group C patients, finding a reflux more than 5ml/s (determined by VFI) in 26.1% of the group C patients, comparing with only 4% of group B patients (p<0.05). CONCLUSION: We have shown that in patients with GSV reflux those with incompetence of the ostial valve of the GSV show greater venous reflux and dilatation of the saphenous trunk than those in whom the ostial valve is competent. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/16226897/Clinical_significance_of_ostial_great_saphenous_vein_reflux_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(05)00532-0 DB - PRIME DP - Unbound Medicine ER -