| Great Saphenous Vein Diameter at the Saphenofemoral Junction and Proximal Thigh as Parameters of Venous Disease Class. | |
| | |
MedLine Citation:
|
PMID: 23219416 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Great saphenous vein (GSV) incompetence is involved in the majority of cases of varicose disease. Standardised pre-interventional assessment is required to analyse the relative merit of treatment modalities. We weighed GSV diameter measurement at the sapheno-femoral junction (SFJ) against measurement at the proximal thigh 15 cm distal to the groin (PT), established a conversion factor and applied it to selected literature data. METHODS: Legs with untreated isolated GSV reflux and varices limited to its territory and control legs were studied clinically, with duplex ultrasound and photoplethysmography. GSV diameters were measured at both the SFJ and the PT. A conversion factor was calculated and used to compare published data. RESULTS: Of 182 legs, 60 had no GSV reflux (controls; group I), 51 had above-knee GSV reflux only (group II) and 71 had GSV reflux above and below knee (group III). GSV diameters in group I measured 7.5 mm (±1.8) at the SFJ and 3.7 mm (±0.9) at the PT. In groups II and III, they measured 10.9 mm (±3.9) at the SFJ and 6.3 mm (±1.9) at the PT (p < 0.001 each). Measurement at the PT revealed higher sensitivity and specificity to predict reflux and clinical class. Good correlation between sites of measurement (r = 0.77) allowed a conversion factor (SFJ = 1.767 * PT, PT = 0.566*SFJ) to be applied to pre-interventional data of published studies. CONCLUSIONS: GSV diameter correlates with clinical class, measurement at the PT being more sensitive and more specific than measurement at the SFJ. Applying the conversion factor to published data suggests that some studies included patients with minor disease. |
| | |
Authors:
|
E Mendoza; W Blättler; F Amsler |
Related Documents
:
|
11175956 - Quality of life after laparoscopic adjustable gastric banding for severe obesity: posto... 18534506 - Periacetabular osteotomy and total hip arthroplasty in patients older than 40 years. 10769726 - Treatment modality affects long-term quality of life in gynaecological cancer. 16970576 - Long-term, health-related, quality of life comparison in patients undergoing single sta... 22856256 - Immediate fatal outcome vs. fatal outcome within the first 48 hours following a severe ... 7209296 - Nasal mucoliliary clearance in patients with septal deviation. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-12-6 |
Journal Detail:
|
Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: - ISSN: 1532-2165 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2012 Dec |
Date Detail:
|
Created Date: 2012-12-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
|
Office for Vein Diseases, Wunstorf, Germany. Electronic address: erika.mendoza@t-online.de. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An email survey of midwives knowledge about CytoMegaloVirus (CMV) in Hannover and a skeletal framewo...
Next Document: Surgical treatment of melanoma liver metastases.