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The nature of lower extremity venous insufficiency in patients with primary varicose veins.
Eur J Vasc Surg. 1994 Jul; 8(4):464-71.EJ

Abstract

The purpose of this study was to investigate the distribution of vein incompetence and the nature of venous haemodynamics accompanying the development of lower extremity primary varicose veins (LEPVV). The entire venous circulation of 77 lower extremities in 55 patients (pts) with LEPVV was evaluated, by using Duplex colour Doppler ultrasonography. The greater and lesser saphenous veins (GSV, LSV) and their branches were thoroughly scanned. The valvular integrity of the deep venous system was determined in the areas of common and superficial femoral vein, saphenofemoral junction, popliteal vein, saphenopopliteal junction, and perforating veins. Demonstration of bidirectional flow signified venous incompetence. Quantitation of venous reflux was estimated after manual calf compression with pts in a standing position. All the symptomatic legs had branch venous disease, 60% had GSV incompetence, 3% had LSV incompetence, 10% showed concurrent GSV and LSV incompetence, while 27% demonstrated no evidence of GSV, and LSV disease. Thirty per cent and 50% of the symptomatic legs demonstrated deep and perforating vein incompetence, respectively. Furthermore, 30% of the asymptomatic lower extremities had insufficiency of saphenofemoral (nine pts) and saphenopopliteal (one pt) junction. The median peak venous reflux in the incompetent GSV and popliteal vein was 0.74 ml/s (range 0.2 to 2.5 ml/s) and 3.5 ml/s (range 2.5 to 8 ml/s), respectively. In conclusion, the observed heterogeneity in anatomic and functional distribution of lower extremity venous insufficiency in pts with LEPVV support the hypothesis that this condition is probably a part of another entity that might be called "lower extremity primary venous insufficiency" whose treatment should be highly individualised. To this end, colour Doppler imaging can help.

Authors+Show Affiliations

Vascular Surgical Unit, University of Crete Medical School, Herakleion University Hospital, Greece.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8088398

Citation

Katsamouris, A N., et al. "The Nature of Lower Extremity Venous Insufficiency in Patients With Primary Varicose Veins." European Journal of Vascular Surgery, vol. 8, no. 4, 1994, pp. 464-71.
Katsamouris AN, Kardoulas DG, Gourtsoyiannis N. The nature of lower extremity venous insufficiency in patients with primary varicose veins. Eur J Vasc Surg. 1994;8(4):464-71.
Katsamouris, A. N., Kardoulas, D. G., & Gourtsoyiannis, N. (1994). The nature of lower extremity venous insufficiency in patients with primary varicose veins. European Journal of Vascular Surgery, 8(4), 464-71.
Katsamouris AN, Kardoulas DG, Gourtsoyiannis N. The Nature of Lower Extremity Venous Insufficiency in Patients With Primary Varicose Veins. Eur J Vasc Surg. 1994;8(4):464-71. PubMed PMID: 8088398.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The nature of lower extremity venous insufficiency in patients with primary varicose veins. AU - Katsamouris,A N, AU - Kardoulas,D G, AU - Gourtsoyiannis,N, PY - 1994/7/1/pubmed PY - 1994/7/1/medline PY - 1994/7/1/entrez SP - 464 EP - 71 JF - European journal of vascular surgery JO - Eur J Vasc Surg VL - 8 IS - 4 N2 - The purpose of this study was to investigate the distribution of vein incompetence and the nature of venous haemodynamics accompanying the development of lower extremity primary varicose veins (LEPVV). The entire venous circulation of 77 lower extremities in 55 patients (pts) with LEPVV was evaluated, by using Duplex colour Doppler ultrasonography. The greater and lesser saphenous veins (GSV, LSV) and their branches were thoroughly scanned. The valvular integrity of the deep venous system was determined in the areas of common and superficial femoral vein, saphenofemoral junction, popliteal vein, saphenopopliteal junction, and perforating veins. Demonstration of bidirectional flow signified venous incompetence. Quantitation of venous reflux was estimated after manual calf compression with pts in a standing position. All the symptomatic legs had branch venous disease, 60% had GSV incompetence, 3% had LSV incompetence, 10% showed concurrent GSV and LSV incompetence, while 27% demonstrated no evidence of GSV, and LSV disease. Thirty per cent and 50% of the symptomatic legs demonstrated deep and perforating vein incompetence, respectively. Furthermore, 30% of the asymptomatic lower extremities had insufficiency of saphenofemoral (nine pts) and saphenopopliteal (one pt) junction. The median peak venous reflux in the incompetent GSV and popliteal vein was 0.74 ml/s (range 0.2 to 2.5 ml/s) and 3.5 ml/s (range 2.5 to 8 ml/s), respectively. In conclusion, the observed heterogeneity in anatomic and functional distribution of lower extremity venous insufficiency in pts with LEPVV support the hypothesis that this condition is probably a part of another entity that might be called "lower extremity primary venous insufficiency" whose treatment should be highly individualised. To this end, colour Doppler imaging can help. SN - 0950-821X UR - https://www.unboundmedicine.com/medline/citation/8088398/The_nature_of_lower_extremity_venous_insufficiency_in_patients_with_primary_varicose_veins_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -