Document Detail

Association of venous volume and diameter of incompetent perforator veins in the lower limb--implications for perforator vein surgery.
MedLine Citation:
PMID:  16055354     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To define the association between venous volume as measured with air-plethysmography and the duplex ultrasound measured diameter of incompetent perforator of the lower limb. PATIENTS AND METHODS: Thirty-six patients with chronic venous disease were investigated with air-plethysmography and duplex ultrasound. Venous volume and venous filling time was measured. Venous filling index was calculated. The findings were correlated with the diameter of the largest incompetent perforator vein of the lower limb. RESULTS: Twenty-six patients with venous volume in the normal range (80-170 ml) had a median perforator diameter of 3.5 mm (IQR 3.2-4.3). Ten patients with venous volume above 170 ml had median perforator diameter of 5.5 mm (IQR 4.6-7.7). (p=0.001, Mann-Whitney). There was a correlation between the venous volume and diameter of the largest incompetent perforator vein. (Pearson correlation factor 0.69, p=0.01). CONCLUSION: Limb volume correlates to the diameter of the largest incompetent perforator of the calf. Increase in venous limb volume could be partly responsible for an increase in the size of calf perforators thereby promoting incompetence.
G Danielsson; B Eklof; R L Kistner
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2005-08-01
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  30     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-30     Completed Date:  2006-01-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  670-3     Citation Subset:  IM    
Department of Surgery, Straub Foundation and John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.
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MeSH Terms
Aged, 80 and over
Blood Volume / physiology*
Chronic Disease
Middle Aged
Severity of Illness Index
Ultrasonography, Doppler, Duplex
Varicose Veins / physiopathology*,  surgery,  ultrasonography
Vascular Surgical Procedures*

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