Document Detail


Lower extremity superficial venous aneurysms.
MedLine Citation:
PMID:  15714370     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Venous aneurysms are not rare. But most attention has been paid to deep venous aneurysms. Because of their propensity to thrombose and cause pulmonary embolization. Increased availability of duplex Doppler ultrasound has allowed total evaluation of all venous segments in patients undergoing surgery for chronic venous insufficiency. In this study, patients were recorded consecutively and the venous reflux examination was carried out with the patient standing. The superficial venous system was studied with special interrogation of the great and small saphenous veins and their tributaries. Reflux >0.5 sec was recorded as positive. Data were analyzed using the Spearman's correlation index and the student's t-test. A strong correlation was considered for values of rho > 0.6. A total of 65 superficial venous aneurysms of the saphenous vein systems were found in 43 patients (33 women and 10 men) with an average age of 53 years (range, 34-70). The mean body mass index (BMI) overall was 25 +/- 4.6. The BMI in men was 29.5 +/- 2.5. The BMI in women was 23.6 +/- 4 (p < 0.05). Aneurysms of the saphenous systems were classified into four types. Type I aneurysms (52%) were located in the proximal third of the saphenous vein, not at the saphenofemoral junction but instead just distal to the subterminal valve. Type II aneurysms were located in the shaft of the saphenous vein in the distal third of the thigh (35%). The third classification (type III) of superficial saphenous vein aneurysms was an occurrence of types I and II in the same lower extremity (3 patients/43 patients). Superficial venous aneurysms of the short saphenous system were found and were classified as type IV (6%.) Strong correlations were found with female gender and a very strong correlation of larger aneurysms was found with an elevated BMI in men. There was a so a strong correlation between type III aneurysms of the proximal and distal thigh greater saphenous vein and greater saphenous vein reflux. Aneurysms of the saphenous veins are common and this may have an impact on choice of surgical treatment.
Authors:
Luigi Pascarella; Maraya Al-Tuwaijri; John J Bergan; Lisa M Mekenas
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  19     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-16     Completed Date:  2005-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  69-73     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of California-San Diego State University, San Diego, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm / classification,  ultrasonography*
Body Mass Index
Female
Femoral Vein / ultrasonography
Humans
Lower Extremity / blood supply*
Male
Middle Aged
Saphenous Vein / ultrasonography*
Sex Factors
Thigh / blood supply
Ultrasonography, Doppler, Duplex
Venous Insufficiency / ultrasonography

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


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