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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

Franzeck UK
Departement für Innere Medizin, Abteilung Angiologie, Universitätsspital Zürich.
Schultheiss R
No affiliation info available
Billeter M
No affiliation info available
Bollinger A
No affiliation info available

MeSH

AdultAgedFemaleHumansMaleMiddle AgedProspective StudiesSensitivity and SpecificityUltrasonography, Doppler, ColorUltrasonography, Doppler, DuplexVaricose VeinsVenous Insufficiency

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 -