Document Detail


Duplex ultrasound assessment of the venous status of the swollen leg.
MedLine Citation:
PMID:  7487726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between January 1991 and December 1993, duplex ultrasound characterization of venous disease in leg swelling was studied in 214 patients (261 limbs; 167 unilateral and 47 bilateral). All patients were examined with a duplex scanner, the superficial and deep venous systems were evaluated for the presence of thrombus and valvular incompetence. Of the 261 limbs, 29 (11.1%) had deep venous thrombosis, 14 (5.4%) had superficial venous thrombosis, 66 (25.3%) had deep venous incompetence (31/66 limbs also had superficial venous incompetence), 65 (24.9%) had incompetence in the superficial veins only, and five (1.9%) had deep venous obstruction resulting from a popliteal cyst or a popliteal vein ligation. Eighty-two limbs (31.4%) had no evidence of venous obstruction or incompetence at the areas evaluated. This study showed that venous obstruction and valvular incompetence had occurred in two-thirds of swollen legs examined. Some of the venous obstructions resulted from surgically treatable diseases such as a popliteal cyst, and some of the venous disorders involved the superficial venous system only. Complete venous evaluation with duplex imaging can be very helpful in the determination of the underlying cause of the swelling.
Authors:
Y Tong; J Royle
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The Australian and New Zealand journal of surgery     Volume:  65     ISSN:  0004-8682     ISO Abbreviation:  Aust N Z J Surg     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1995-11-28     Completed Date:  1995-11-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  784-6     Citation Subset:  IM    
Affiliation:
Vascular Surgery Unit, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Female
Humans
Leg / blood supply
Male
Middle Aged
Thrombophlebitis / ultrasonography
Ultrasonography, Doppler, Duplex
Venous Insufficiency / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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