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Status of the valves in the superficial and deep venous system in chronic venous disease.
Surgery. 1991 Jun; 109(6):730-4.S

Abstract

The relationship between the functional status of the venous valves in the superficial and deep veins and ulceration was evaluated in 42 patients. Twenty-five patients had ulcers, 12 of these patients had a history of previous deep venous thrombosis and 13 of these patients denied such an event. Seventeen patients had normal ankle skin, 10 of these patients had a documented history of deep vein thrombosis and seven of these patients had varicose veins only. An ultrasonic duplex scanner was used to document the presence of reflux in all segments of the superficial and deep system. In the entire group of 25 limbs with ulceration, valvular incompetence was noted in 22 limbs at levels involving segments that communicated with the ulcer-bearing area. Of the 17 limbs with normal ankle skin, in only two instances was a single segment of posterior tibial vein in midcalf found to be incompetent. For those patients with normal ankle skin and a history of varicose veins, the deep veins below the common femoral vein level were always competent.

Authors+Show Affiliations

Department of Surgery, University of Washington School of Medicine, Seattle, WA 98195.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

2042091

Citation

van Bemmelen, P S., et al. "Status of the Valves in the Superficial and Deep Venous System in Chronic Venous Disease." Surgery, vol. 109, no. 6, 1991, pp. 730-4.
van Bemmelen PS, Bedford G, Beach K, et al. Status of the valves in the superficial and deep venous system in chronic venous disease. Surgery. 1991;109(6):730-4.
van Bemmelen, P. S., Bedford, G., Beach, K., & Strandness, D. E. (1991). Status of the valves in the superficial and deep venous system in chronic venous disease. Surgery, 109(6), 730-4.
van Bemmelen PS, et al. Status of the Valves in the Superficial and Deep Venous System in Chronic Venous Disease. Surgery. 1991;109(6):730-4. PubMed PMID: 2042091.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Status of the valves in the superficial and deep venous system in chronic venous disease. AU - van Bemmelen,P S, AU - Bedford,G, AU - Beach,K, AU - Strandness,D E,Jr PY - 1991/6/1/pubmed PY - 2001/3/28/medline PY - 1991/6/1/entrez SP - 730 EP - 4 JF - Surgery JO - Surgery VL - 109 IS - 6 N2 - The relationship between the functional status of the venous valves in the superficial and deep veins and ulceration was evaluated in 42 patients. Twenty-five patients had ulcers, 12 of these patients had a history of previous deep venous thrombosis and 13 of these patients denied such an event. Seventeen patients had normal ankle skin, 10 of these patients had a documented history of deep vein thrombosis and seven of these patients had varicose veins only. An ultrasonic duplex scanner was used to document the presence of reflux in all segments of the superficial and deep system. In the entire group of 25 limbs with ulceration, valvular incompetence was noted in 22 limbs at levels involving segments that communicated with the ulcer-bearing area. Of the 17 limbs with normal ankle skin, in only two instances was a single segment of posterior tibial vein in midcalf found to be incompetent. For those patients with normal ankle skin and a history of varicose veins, the deep veins below the common femoral vein level were always competent. SN - 0039-6060 UR - https://www.unboundmedicine.com/medline/citation/2042091/Status_of_the_valves_in_the_superficial_and_deep_venous_system_in_chronic_venous_disease_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -