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Hemodynamic assessment of femoropopliteal venous reflux in patients with primary varicose veins.
J Vasc Surg. 1997 Aug; 26(2):260-4.JV

Abstract

PURPOSE

The aim of this study was to assess the anatomic distribution and extent of deep venous reflux in patients with primary varicose veins (PVVs) and to investigate its influence on venous hemodynamics.

METHODS

Femoropopliteal venous reflux was examined using duplex color Doppler ultrasonography in 356 limbs with PVVs in 240 patients. Photoplethysmography (PPG) was performed using above-knee and below-knee tourniquets to determine the contributions of deep and superficial venous insufficiency.

RESULTS

Of 356 limbs with PVVs, 61 (17.1%) had femoropopliteal venous reflux, 42 (11.8%) had superficial femoral venous reflux alone, and 57 (16.0%) had popliteal venous reflux alone. Femoropopliteal venous reflux was associated significantly with clinical symptoms and shortened the half venous refilling time measured by PPG, especially in the presence of incompetent perforating veins. These findings were obtained regardless of the presence of long saphenous vein reflux.

CONCLUSIONS

Femoropopliteal venous reflux associated with PVVs plays an important role in the pathophysiologic mechanism of venous stasis and influences venous hemodynamics in the presence of incompetent perforating veins and short saphenous vein.

Authors+Show Affiliations

First Department of Surgery, Nagoya University School of Medicine, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9279313

Citation

Sakurai, T, et al. "Hemodynamic Assessment of Femoropopliteal Venous Reflux in Patients With Primary Varicose Veins." Journal of Vascular Surgery, vol. 26, no. 2, 1997, pp. 260-4.
Sakurai T, Matsushita M, Nishikimi N, et al. Hemodynamic assessment of femoropopliteal venous reflux in patients with primary varicose veins. J Vasc Surg. 1997;26(2):260-4.
Sakurai, T., Matsushita, M., Nishikimi, N., & Nimura, Y. (1997). Hemodynamic assessment of femoropopliteal venous reflux in patients with primary varicose veins. Journal of Vascular Surgery, 26(2), 260-4.
Sakurai T, et al. Hemodynamic Assessment of Femoropopliteal Venous Reflux in Patients With Primary Varicose Veins. J Vasc Surg. 1997;26(2):260-4. PubMed PMID: 9279313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hemodynamic assessment of femoropopliteal venous reflux in patients with primary varicose veins. AU - Sakurai,T, AU - Matsushita,M, AU - Nishikimi,N, AU - Nimura,Y, PY - 1997/8/1/pubmed PY - 1997/8/1/medline PY - 1997/8/1/entrez SP - 260 EP - 4 JF - Journal of vascular surgery JO - J Vasc Surg VL - 26 IS - 2 N2 - PURPOSE: The aim of this study was to assess the anatomic distribution and extent of deep venous reflux in patients with primary varicose veins (PVVs) and to investigate its influence on venous hemodynamics. METHODS: Femoropopliteal venous reflux was examined using duplex color Doppler ultrasonography in 356 limbs with PVVs in 240 patients. Photoplethysmography (PPG) was performed using above-knee and below-knee tourniquets to determine the contributions of deep and superficial venous insufficiency. RESULTS: Of 356 limbs with PVVs, 61 (17.1%) had femoropopliteal venous reflux, 42 (11.8%) had superficial femoral venous reflux alone, and 57 (16.0%) had popliteal venous reflux alone. Femoropopliteal venous reflux was associated significantly with clinical symptoms and shortened the half venous refilling time measured by PPG, especially in the presence of incompetent perforating veins. These findings were obtained regardless of the presence of long saphenous vein reflux. CONCLUSIONS: Femoropopliteal venous reflux associated with PVVs plays an important role in the pathophysiologic mechanism of venous stasis and influences venous hemodynamics in the presence of incompetent perforating veins and short saphenous vein. SN - 0741-5214 UR - https://www.unboundmedicine.com/medline/citation/9279313/Hemodynamic_assessment_of_femoropopliteal_venous_reflux_in_patients_with_primary_varicose_veins_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0741521497002188 DB - PRIME DP - Unbound Medicine ER -