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[Color duplex ultrasonography in the diagnosis of deficient perforating veins in comparison to cw-Doppler ultrasonography and clinical examination].
Ther Umsch. 1996 Apr; 53(4):291-4.TU

Abstract

The study was conducted to investigate the accuracy and agreement between clinical examination, cw-Doppler ultrasound and color-duplex sonography in diagnosing incompetent perforating veins. Nineteen patients with chronic venous insufficiency (CVI) were examined clinically, by hand-held cw-Doppler ultrasound in combination with tourniquet compression and color-coded duplex sonography CDS. The accuracy of the clinical examination and the diagnosis of ICPV by cw-Doppler were surprisingly low. The specificity was 15% and sensitivity 29%, when CDS was taken as gold standard. Furthermore the results show clearly that the application of a tourniquet cannot provide reliable results. It is concluded that in patients with CVI clinical and cw-Doppler examinations are not sufficient for an accurate diagnosis of incompetent perforating veins. Color-duplex provides a new noninvasive approach for accurate anatomical and functional diagnosis, which is of great importance prior to surgical interventions and/or sclerotherapy.

Authors+Show Affiliations

Departement für Innere Medizin, Abteilung Angiologie, Universitätsspital Zürich.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

ger

PubMed ID

8658352

Citation

Franzeck, U K., et al. "[Color Duplex Ultrasonography in the Diagnosis of Deficient Perforating Veins in Comparison to cw-Doppler Ultrasonography and Clinical Examination]." Therapeutische Umschau. Revue Therapeutique, vol. 53, no. 4, 1996, pp. 291-4.
Franzeck UK, Schultheiss R, Billeter M, et al. [Color duplex ultrasonography in the diagnosis of deficient perforating veins in comparison to cw-Doppler ultrasonography and clinical examination]. Ther Umsch. 1996;53(4):291-4.
Franzeck, U. K., Schultheiss, R., Billeter, M., & Bollinger, A. (1996). [Color duplex ultrasonography in the diagnosis of deficient perforating veins in comparison to cw-Doppler ultrasonography and clinical examination]. Therapeutische Umschau. Revue Therapeutique, 53(4), 291-4.
Franzeck UK, et al. [Color Duplex Ultrasonography in the Diagnosis of Deficient Perforating Veins in Comparison to cw-Doppler Ultrasonography and Clinical Examination]. Ther Umsch. 1996;53(4):291-4. PubMed PMID: 8658352.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Color duplex ultrasonography in the diagnosis of deficient perforating veins in comparison to cw-Doppler ultrasonography and clinical examination]. AU - Franzeck,U K, AU - Schultheiss,R, AU - Billeter,M, AU - Bollinger,A, PY - 1996/4/1/pubmed PY - 1996/4/1/medline PY - 1996/4/1/entrez SP - 291 EP - 4 JF - Therapeutische Umschau. Revue therapeutique JO - Ther Umsch VL - 53 IS - 4 N2 - The study was conducted to investigate the accuracy and agreement between clinical examination, cw-Doppler ultrasound and color-duplex sonography in diagnosing incompetent perforating veins. Nineteen patients with chronic venous insufficiency (CVI) were examined clinically, by hand-held cw-Doppler ultrasound in combination with tourniquet compression and color-coded duplex sonography CDS. The accuracy of the clinical examination and the diagnosis of ICPV by cw-Doppler were surprisingly low. The specificity was 15% and sensitivity 29%, when CDS was taken as gold standard. Furthermore the results show clearly that the application of a tourniquet cannot provide reliable results. It is concluded that in patients with CVI clinical and cw-Doppler examinations are not sufficient for an accurate diagnosis of incompetent perforating veins. Color-duplex provides a new noninvasive approach for accurate anatomical and functional diagnosis, which is of great importance prior to surgical interventions and/or sclerotherapy. SN - 0040-5930 UR - https://www.unboundmedicine.com/medline/citation/8658352/[Color_duplex_ultrasonography_in_the_diagnosis_of_deficient_perforating_veins_in_comparison_to_cw_Doppler_ultrasonography_and_clinical_examination]_ DB - PRIME DP - Unbound Medicine ER -