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[Prevalence and causes of reflux in deep venous system of the leg in patients with insufficiency of superficial veins].
Vnitr Lek 2006; 52(6):596-601VL

Abstract

The aim of the prospective study was to find out the following: 1. What is the prevalence of deep vein reflux of the leg in patients with superficial vein reflux detected by ultrasonography? 2. What are the possible causes of deep vein insufficiency of the leg retrospectively detectable on the basis of targeted medical history? 3. Is the incidence of identified deep vein insufficiency of the leg gender specific? The sample consisted of 100 legs with superficial vein reflux detected on ultrasonography (C1 - C4 / CEAP) of 79 randomized patients (59 women aged 45 +/- 12 years and 20 men aged 52 +/- 15 years). We collected the medical history of all patients and examined them for any vascular diseases of the leg. Superficial and deep venous system of the leg was examined by routine duplex ultrasonography with 7.5 a 10 MHz linear probe in B-mode, colour flow mapping and pulse Doppler using Valsalva manoeuvre and manual compression of thigh. During the examination, patients lay both prone and on their back.

RESULTS

Prevalence of deep vein reflux in patients with superficial vein reflux detected by ultrasonography was 43 %. Prevalence of deep vein reflux in patients only with primary venous insufficiency (i.e. personal medical history without phlebothrombosis of the leg, trauma, surgery or plaster fixation) was 35.4% in our sample. The possible causes of deep vein reflux in our patients are the following: overweight and obesity (58.6%), primary valvular insufficiency (35.4%), secondary valvular insufficiency--post-thrombotic, post-traumatic (34.9%) and various combinations of these factors. Deep vein insufficiency increased with the BMI. Deep vein reflux was significantly more frequent in men (80%) as compared with women (54.2%).

Authors+Show Affiliations

Nestátní interní cévní ambulance, II. poliklinika, Olomouc. musil.dalibor@quick.czNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

cze

PubMed ID

16871763

Citation

Musil, D, and J Herman. "[Prevalence and Causes of Reflux in Deep Venous System of the Leg in Patients With Insufficiency of Superficial Veins]." Vnitrni Lekarstvi, vol. 52, no. 6, 2006, pp. 596-601.
Musil D, Herman J. [Prevalence and causes of reflux in deep venous system of the leg in patients with insufficiency of superficial veins]. Vnitr Lek. 2006;52(6):596-601.
Musil, D., & Herman, J. (2006). [Prevalence and causes of reflux in deep venous system of the leg in patients with insufficiency of superficial veins]. Vnitrni Lekarstvi, 52(6), pp. 596-601.
Musil D, Herman J. [Prevalence and Causes of Reflux in Deep Venous System of the Leg in Patients With Insufficiency of Superficial Veins]. Vnitr Lek. 2006;52(6):596-601. PubMed PMID: 16871763.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Prevalence and causes of reflux in deep venous system of the leg in patients with insufficiency of superficial veins]. AU - Musil,D, AU - Herman,J, PY - 2006/7/29/pubmed PY - 2006/10/4/medline PY - 2006/7/29/entrez SP - 596 EP - 601 JF - Vnitrni lekarstvi JO - Vnitr Lek VL - 52 IS - 6 N2 - UNLABELLED: The aim of the prospective study was to find out the following: 1. What is the prevalence of deep vein reflux of the leg in patients with superficial vein reflux detected by ultrasonography? 2. What are the possible causes of deep vein insufficiency of the leg retrospectively detectable on the basis of targeted medical history? 3. Is the incidence of identified deep vein insufficiency of the leg gender specific? The sample consisted of 100 legs with superficial vein reflux detected on ultrasonography (C1 - C4 / CEAP) of 79 randomized patients (59 women aged 45 +/- 12 years and 20 men aged 52 +/- 15 years). We collected the medical history of all patients and examined them for any vascular diseases of the leg. Superficial and deep venous system of the leg was examined by routine duplex ultrasonography with 7.5 a 10 MHz linear probe in B-mode, colour flow mapping and pulse Doppler using Valsalva manoeuvre and manual compression of thigh. During the examination, patients lay both prone and on their back. RESULTS: Prevalence of deep vein reflux in patients with superficial vein reflux detected by ultrasonography was 43 %. Prevalence of deep vein reflux in patients only with primary venous insufficiency (i.e. personal medical history without phlebothrombosis of the leg, trauma, surgery or plaster fixation) was 35.4% in our sample. The possible causes of deep vein reflux in our patients are the following: overweight and obesity (58.6%), primary valvular insufficiency (35.4%), secondary valvular insufficiency--post-thrombotic, post-traumatic (34.9%) and various combinations of these factors. Deep vein insufficiency increased with the BMI. Deep vein reflux was significantly more frequent in men (80%) as compared with women (54.2%). SN - 0042-773X UR - https://www.unboundmedicine.com/medline/citation/16871763/[Prevalence_and_causes_of_reflux_in_deep_venous_system_of_the_leg_in_patients_with_insufficiency_of_superficial_veins]_ DB - PRIME DP - Unbound Medicine ER -