Document Detail

Reflux in foot veins is associated with venous toe and forefoot ulceration.
MedLine Citation:
PMID:  21050704     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the prevalence of foot vein incompetence in a group of patients with chronic venous insufficiency and to assess the association of this, with venous ulceration located on the forefoot.
METHODS: A total of 20 consecutive patients (21 limbs) with active or healed venous ulceration was prospectively studied with duplex ultrasound of the superficial and plantar foot veins. In these, four extremities had venous ulceration involving the forefoot. Specifically, the superficial venous arch near the metatarsal heads, the foot portion of the great and small saphenous veins, the anterior arch veins on the foot dorsum, and the plantar veins were interrogated with a 12-MHz probe.
RESULTS: Reflux was found in 32% of pedal vein segments in CEAP C5, C6 legs, with ulceration involving only the gaiter area (mean number of incompetent foot segments, 1.6 ± 1.2). Pedal reflux was present in 65% of foot vein segments when forefoot ulceration was present (mean number of incompetent foot segments, 3.3 ± 1.3). Student t-test for the difference in the mean number of incompetent foot vein segments was significant (P < .004).
CONCLUSIONS: Venous ulceration can affect the forefoot and toe areas and is associated with reflux in the pedal vein segments.
Paul S van Bemmelen; Daniel Spivack; Patrick Kelly
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Publication Detail:
Type:  Journal Article     Date:  2010-11-03
Journal Detail:
Title:  Journal of vascular surgery     Volume:  53     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-03-10     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  394-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Department of Surgery, Section of Vascular Surgery, TempleUniversity, USA.
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MeSH Terms
Chronic Disease
Foot Ulcer / etiology*,  physiopathology,  ultrasonography
Forefoot, Human / blood supply*
Middle Aged
Regional Blood Flow
Retrospective Studies
Saphenous Vein / physiopathology*,  ultrasonography
Toes / blood supply
Ultrasonography, Doppler, Duplex
Venous Insufficiency / complications*,  physiopathology,  ultrasonography

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