Document Detail

Correlation of the anatomical distribution of venous reflux with clinical symptoms and venous haemodynamics in primary varicose veins.
MedLine Citation:
PMID:  9501819     Owner:  NLM     Status:  MEDLINE    
AIM: The aim of this study was to correlate the anatomical distribution of venous reflux with clinical symptoms and venous haemodynamics in patients with primary varicose veins. METHODS: Venous reflux was examined using duplex colour Doppler ultrasonography in 266 legs in 191 patients. The venous refilling and reflux times were also measured. RESULTS: Of the 266 legs, 82 per cent had reflux in the long saphenous vein (LSV), 26 per cent in the short saphenous vein (SSV), 62 per cent had incompetent perforators (IPs) in the calf and 48 per cent had reflux in the deep veins. LSV reflux combined with SSV reflux and/or IPs was associated significantly with severe venous disease and abnormal venous haemodynamics. Femoropopliteal reflux played a role in the development of venous eczema and ulcers when combined with superficial venous reflux. CONCLUSION: Patients at high risk of developing complications of venous disease may be identified by an accurate non-invasive evaluation of reflux patterns.
T Sakurai; P C Gupta; M Matsushita; N Nishikimi; Y Nimura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  85     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-03-26     Completed Date:  1998-03-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  213-6     Citation Subset:  AIM; IM    
First Department of Surgery, Nagoya University School of Medicine, Japan.
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MeSH Terms
Aged, 80 and over
Femoral Vein / physiopathology
Leg / blood supply*
Middle Aged
Popliteal Vein / physiopathology
Risk Factors
Saphenous Vein / physiopathology
Varicose Veins / pathology*,  physiopathology
Venous Insufficiency / pathology*,  physiopathology

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