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Results and significance of colour duplex assessment of the deep venous system in recurrent varicose veins.
Eur J Vasc Endovasc Surg. 2007 Jul; 34(1):97-101.EJ

Abstract

OBJECTIVES

To establish the status of the deep veins in patients presenting with recurrent varicose veins and the effect on treatment decisions.

DESIGN

Retrospective clinical series.

MATERIALS AND METHODS

Duplex examination of 570 consecutive patients (843 limbs) presenting with recurrent varicose veins (CEAP C2-4).

RESULTS

Approximately one third of these patients (34.8%:294 limbs) had no deep venous abnormality; 173 limbs with superficial vein abnormalities only had great and/or small saphenous junction incompetence, the remaining 121 legs had abnormal perforating or communicating veins. Deep venous abnormalities were found in 549 limbs with evidence of persisting deep venous obstruction in only 20. Deep venous incompetence was found in 529 limbs (62.7% of all legs). However three segment incompetence (common femoral, femoral and popliteal veins) was found in only 181 legs (21.4%), two segment incompetence in 137 (16.2%) and one segment incompetence in 211 (25%).

CONCLUSIONS

Deep vein incompetence is common in patients with recurrent varicose veins. Deep venous obstruction is an infrequent finding but total deep venous reflux (three segment incompetence) affects just under one quarter of all limbs with recurrent varicose veins. Ablation or surgery of varicose veins in this group may be less effective. Patients should be advised of the implications of this finding.

Authors+Show Affiliations

Department of Vascular and General Surgery, Bedford Hospital Trust, Kempston Road, Bedford MK42 9DJ, UK.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17470404

Citation

Ali, S M., and M J. Callam. "Results and Significance of Colour Duplex Assessment of the Deep Venous System in Recurrent Varicose Veins." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 34, no. 1, 2007, pp. 97-101.
Ali SM, Callam MJ. Results and significance of colour duplex assessment of the deep venous system in recurrent varicose veins. Eur J Vasc Endovasc Surg. 2007;34(1):97-101.
Ali, S. M., & Callam, M. J. (2007). Results and significance of colour duplex assessment of the deep venous system in recurrent varicose veins. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 34(1), 97-101.
Ali SM, Callam MJ. Results and Significance of Colour Duplex Assessment of the Deep Venous System in Recurrent Varicose Veins. Eur J Vasc Endovasc Surg. 2007;34(1):97-101. PubMed PMID: 17470404.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Results and significance of colour duplex assessment of the deep venous system in recurrent varicose veins. AU - Ali,S M, AU - Callam,M J, Y1 - 2007/04/30/ PY - 2006/06/13/received PY - 2007/02/12/accepted PY - 2007/5/2/pubmed PY - 2007/8/19/medline PY - 2007/5/2/entrez SP - 97 EP - 101 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 - 34 IS - 1 N2 - OBJECTIVES: To establish the status of the deep veins in patients presenting with recurrent varicose veins and the effect on treatment decisions. DESIGN: Retrospective clinical series. MATERIALS AND METHODS: Duplex examination of 570 consecutive patients (843 limbs) presenting with recurrent varicose veins (CEAP C2-4). RESULTS: Approximately one third of these patients (34.8%:294 limbs) had no deep venous abnormality; 173 limbs with superficial vein abnormalities only had great and/or small saphenous junction incompetence, the remaining 121 legs had abnormal perforating or communicating veins. Deep venous abnormalities were found in 549 limbs with evidence of persisting deep venous obstruction in only 20. Deep venous incompetence was found in 529 limbs (62.7% of all legs). However three segment incompetence (common femoral, femoral and popliteal veins) was found in only 181 legs (21.4%), two segment incompetence in 137 (16.2%) and one segment incompetence in 211 (25%). CONCLUSIONS: Deep vein incompetence is common in patients with recurrent varicose veins. Deep venous obstruction is an infrequent finding but total deep venous reflux (three segment incompetence) affects just under one quarter of all limbs with recurrent varicose veins. Ablation or surgery of varicose veins in this group may be less effective. Patients should be advised of the implications of this finding. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/17470404/Results_and_significance_of_colour_duplex_assessment_of_the_deep_venous_system_in_recurrent_varicose_veins_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(07)00151-7 DB - PRIME DP - Unbound Medicine ER -