Tags

Type your tag names separated by a space and hit enter

Comparison of manual compression release with distal pneumatic cuff maneuver in the ultrasonic evaluation of superficial venous insufficiency.
Eur J Vasc Endovasc Surg. 2006 Oct; 32(4):462-7.EJ

Abstract

BACKGROUND

Venous reflux can be elicited either manually or by pneumatic tourniquet, and previous studies did not indicate any significant difference between these manoeuvres in patients with superficial venous insufficiency (SVI).

PURPOSE

To investigate if two methods correlate in patients with CVI.

MATERIALS AND METHODS

Venous reflux was studied in 94 venous segments of 57 limbs in 52 consecutive patients with SVI. Limbs were divided into two groups: group I (CEAP C2-C3) and group II (CEAP C4-C6). A colour duplex scanner was used to determine quantitative venous reflux at the sapheno-femoral junction (SFJ), at the sapheno-popliteal junction (SPJ), and in the greater saphenous vein in the thigh (GSV). Patients received both manual compression and cuff deflation method in eliciting venous reflux. The parameters assessed were the duration of reflux (second) and the peak reflux velocity (cm/s).

STATISTICS

Paired t-test was used to evaluate differences between the two methods. Statistical significance was recorded when the p-value was <0.05. Bland and Altman plot was also used to assess the agreement of the same measurement.

RESULTS

There were 58 venous segments in group I and 36 in group II. In group I, there were no significant differences in the duration of reflux at the SFJ, SPJ, and in the GSV. On the contrary, peak reflux velocity was found to be significantly higher at the SFJ and in the GSV (p=0.022 and 0.006, respectively). In group II, there was no significant difference in the duration of reflux at the SFJ and SPJ between the two methods. On the contrary, manual compression maneuver produced significantly higher peak reflux velocity than at the SFJ and in the GSV (p=0.023 and 0.002, respectively). Bland and Altman plot analysis, manual compression method displayed a relatively good agreement with cuff deflation manoeuvre both in group I and group II. In contrast, concerning the peak reflux velocity, relative wide limits of agreement were found between the two methods.

CONCLUSIONS

Unlike previously published reports, our results lead to apparent discrepancies in the quantitative evaluation of venous reflux using different methodology.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, 162-8666 Japan. yamakai@prs.twmu.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16750921

Citation

Yamaki, T, et al. "Comparison of Manual Compression Release With Distal Pneumatic Cuff Maneuver in the Ultrasonic Evaluation of Superficial Venous Insufficiency." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 32, no. 4, 2006, pp. 462-7.
Yamaki T, Nozaki M, Sakurai H, et al. Comparison of manual compression release with distal pneumatic cuff maneuver in the ultrasonic evaluation of superficial venous insufficiency. Eur J Vasc Endovasc Surg. 2006;32(4):462-7.
Yamaki, T., Nozaki, M., Sakurai, H., Takeuchi, M., Soejima, K., & Kono, T. (2006). Comparison of manual compression release with distal pneumatic cuff maneuver in the ultrasonic evaluation of superficial venous insufficiency. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 32(4), 462-7.
Yamaki T, et al. Comparison of Manual Compression Release With Distal Pneumatic Cuff Maneuver in the Ultrasonic Evaluation of Superficial Venous Insufficiency. Eur J Vasc Endovasc Surg. 2006;32(4):462-7. PubMed PMID: 16750921.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of manual compression release with distal pneumatic cuff maneuver in the ultrasonic evaluation of superficial venous insufficiency. AU - Yamaki,T, AU - Nozaki,M, AU - Sakurai,H, AU - Takeuchi,M, AU - Soejima,K, AU - Kono,T, Y1 - 2006/06/05/ PY - 2005/06/28/received PY - 2006/04/02/accepted PY - 2006/6/6/pubmed PY - 2006/12/9/medline PY - 2006/6/6/entrez SP - 462 EP - 7 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 - 32 IS - 4 N2 - BACKGROUND: Venous reflux can be elicited either manually or by pneumatic tourniquet, and previous studies did not indicate any significant difference between these manoeuvres in patients with superficial venous insufficiency (SVI). PURPOSE: To investigate if two methods correlate in patients with CVI. MATERIALS AND METHODS: Venous reflux was studied in 94 venous segments of 57 limbs in 52 consecutive patients with SVI. Limbs were divided into two groups: group I (CEAP C2-C3) and group II (CEAP C4-C6). A colour duplex scanner was used to determine quantitative venous reflux at the sapheno-femoral junction (SFJ), at the sapheno-popliteal junction (SPJ), and in the greater saphenous vein in the thigh (GSV). Patients received both manual compression and cuff deflation method in eliciting venous reflux. The parameters assessed were the duration of reflux (second) and the peak reflux velocity (cm/s). STATISTICS: Paired t-test was used to evaluate differences between the two methods. Statistical significance was recorded when the p-value was <0.05. Bland and Altman plot was also used to assess the agreement of the same measurement. RESULTS: There were 58 venous segments in group I and 36 in group II. In group I, there were no significant differences in the duration of reflux at the SFJ, SPJ, and in the GSV. On the contrary, peak reflux velocity was found to be significantly higher at the SFJ and in the GSV (p=0.022 and 0.006, respectively). In group II, there was no significant difference in the duration of reflux at the SFJ and SPJ between the two methods. On the contrary, manual compression maneuver produced significantly higher peak reflux velocity than at the SFJ and in the GSV (p=0.023 and 0.002, respectively). Bland and Altman plot analysis, manual compression method displayed a relatively good agreement with cuff deflation manoeuvre both in group I and group II. In contrast, concerning the peak reflux velocity, relative wide limits of agreement were found between the two methods. CONCLUSIONS: Unlike previously published reports, our results lead to apparent discrepancies in the quantitative evaluation of venous reflux using different methodology. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/16750921/Comparison_of_manual_compression_release_with_distal_pneumatic_cuff_maneuver_in_the_ultrasonic_evaluation_of_superficial_venous_insufficiency_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(06)00205-X DB - PRIME DP - Unbound Medicine ER -