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Telangiectasia and venous reflux in the Edinburgh Vein Study.
Phlebology. 2012 Sep; 27(6):297-302.P

Abstract

OBJECTIVE

The purpose of this study was to correlate the clinical findings in the Edinburgh Vein Study with the results of duplex scanning of the deep and superficial venous systems.

METHODS

An age-stratified random sample of 1566 people (699 men and 867 women) aged 16-64 were selected from computerized age-sex registers of participating practices (twelve general practices with catchment areas geographically and socioeconomically distributed throughout Edinburgh). Screening included clinical examination, photography and duplex ultrasonography of the superficial veins and the deep veins down to popliteal level. Telangiectasia and varicose veins were graded 1-3 according to severity.

RESULTS

Since there was good agreement between the duplex findings of the right versus left legs, the current analyses are based on 1092 subjects (486 men and 606 women) with complete duplex scan data in their left legs. There was no significant trend of increasing incompetence in either the deep veins only (P = 0.214) or in the combined deep and superficial veins (P = 0.111) with increasing severity of the telangiectasia. There was a statistically significant trend for increasing incompetence in (a) the superficial veins (P = 0.006) and (b) either the superficial or deep veins (P < 0.001) to be associated with advancing grade of telangiectasia. When stratified by gender, significant trends were maintained for male superficial vein incompetence and for either superficial or deep incompetence in both genders. Examination of incompetence in individual venous segments showed that increasing severity of telangiectasia was significantly associated with an increasing proportion of reflux in the upper and lower great saphenous and femoral vein segments. There was no significant association between small saphenous incompetence and increasing grade of telangiectasia.

CONCLUSION

There is a significant, but not wholly consistent, association between grade of telangiectasia and reflux in both the deep and superficial systems. This association does not apply to the small saphenous system.

Authors+Show Affiliations

Centre for Population Health Sciences, Wolfson Unit for Prevention of Peripheral Vascular Diseases, University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, UK. vaughan.ruckley@btinternet.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22106449

Citation

Ruckley, C V., et al. "Telangiectasia and Venous Reflux in the Edinburgh Vein Study." Phlebology, vol. 27, no. 6, 2012, pp. 297-302.
Ruckley CV, Allan PL, Evans CJ, et al. Telangiectasia and venous reflux in the Edinburgh Vein Study. Phlebology. 2012;27(6):297-302.
Ruckley, C. V., Allan, P. L., Evans, C. J., Lee, A. J., & Fowkes, F. G. (2012). Telangiectasia and venous reflux in the Edinburgh Vein Study. Phlebology, 27(6), 297-302. https://doi.org/10.1258/phleb.2011.011007
Ruckley CV, et al. Telangiectasia and Venous Reflux in the Edinburgh Vein Study. Phlebology. 2012;27(6):297-302. PubMed PMID: 22106449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Telangiectasia and venous reflux in the Edinburgh Vein Study. AU - Ruckley,C V, AU - Allan,P L, AU - Evans,C J, AU - Lee,A J, AU - Fowkes,F G R, Y1 - 2011/11/21/ PY - 2011/11/23/entrez PY - 2011/11/23/pubmed PY - 2013/4/26/medline SP - 297 EP - 302 JF - Phlebology JO - Phlebology VL - 27 IS - 6 N2 - OBJECTIVE: The purpose of this study was to correlate the clinical findings in the Edinburgh Vein Study with the results of duplex scanning of the deep and superficial venous systems. METHODS: An age-stratified random sample of 1566 people (699 men and 867 women) aged 16-64 were selected from computerized age-sex registers of participating practices (twelve general practices with catchment areas geographically and socioeconomically distributed throughout Edinburgh). Screening included clinical examination, photography and duplex ultrasonography of the superficial veins and the deep veins down to popliteal level. Telangiectasia and varicose veins were graded 1-3 according to severity. RESULTS: Since there was good agreement between the duplex findings of the right versus left legs, the current analyses are based on 1092 subjects (486 men and 606 women) with complete duplex scan data in their left legs. There was no significant trend of increasing incompetence in either the deep veins only (P = 0.214) or in the combined deep and superficial veins (P = 0.111) with increasing severity of the telangiectasia. There was a statistically significant trend for increasing incompetence in (a) the superficial veins (P = 0.006) and (b) either the superficial or deep veins (P < 0.001) to be associated with advancing grade of telangiectasia. When stratified by gender, significant trends were maintained for male superficial vein incompetence and for either superficial or deep incompetence in both genders. Examination of incompetence in individual venous segments showed that increasing severity of telangiectasia was significantly associated with an increasing proportion of reflux in the upper and lower great saphenous and femoral vein segments. There was no significant association between small saphenous incompetence and increasing grade of telangiectasia. CONCLUSION: There is a significant, but not wholly consistent, association between grade of telangiectasia and reflux in both the deep and superficial systems. This association does not apply to the small saphenous system. SN - 1758-1125 UR - https://www.unboundmedicine.com/medline/citation/22106449/Telangiectasia_and_venous_reflux_in_the_Edinburgh_Vein_Study_ L2 - http://journals.sagepub.com/doi/full/10.1258/phleb.2011.011007?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -