Document Detail

Incompetent perforating veins are associated with recurrent varicose veins.
MedLine Citation:
PMID:  11352523     Owner:  NLM     Status:  MEDLINE    
AIMS: we suspected incompetent perforating veins of having a role in the development of recurrent varicose veins in some patients. The aim was to look for an association between perforators and recurrent varicose veins. METHODS: a consecutive group of patients presenting with varicose veins were examined using colour duplex ultrasonography by an experienced vascular technologist. Pathological perforating veins were defined as those exhibiting bi-directional flow and a diameter of 4 mm or greater at the fascia. RESULTS: between September 1998 and July 1999, 204 patients were examined. Primary varicose veins were found in 198 legs (135 patients) and recurrent varicose veins in 91 legs (69 patients). In patients with primary varicose veins, 88 (44%) had incompetent perforators compared to 57 (63%) of those with recurrent varicose veins (Chi-squared, p <0.005). Also, for recurrent varicose veins, the percentage of patients with any given number of incompetent perforators was higher than for primary varicose veins. Overall, there was a higher number of incompetent perforators in those with recurrent veins compared to primary veins and this difference was significant at 95% confidence interval. CONCLUSION: patients with recurrent varicose veins have both a higher prevalence and a greater number of incompetent perforating veins than patients with primary varicose veins.
E E Rutherford; B Kianifard; S J Cook; J M Holdstock; M S Whiteley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  21     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-15     Completed Date:  2001-06-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  458-60     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Harcourt Publishers Limited.
Department of Vascular Surgery, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, UK.
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MeSH Terms
Leg / blood supply*
Ultrasonography, Doppler, Color
Varicose Veins / etiology*,  ultrasonography
Veins / physiopathology,  ultrastructure

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