Document Detail

The relation among the diameter of the great saphenous vein, clinical state and haemodynamic pattern of the saphenofemoral junction in chronic superficial venous insufficiency.
MedLine Citation:
PMID:  18269071     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To find out if there is a relation among the diameter of the great saphenous vein (GSV) when it is incompetent, the clinical gravity of the varicose syndrome and the type of insufficiency of the saphenofemoral junction (SFJ) in patients with chronic venous insufficiency (CVI) by means of duplex exploration. METHODS: The sample included 145 extremities, 38 normal as a control group and 107 with incompetence of the GSV. According to the results of the Valsalva and Parana manoeuvres in the SFJ, they were distributed into four groups. The diameter of the GSV and the clinical state according to the clinical, aetiological, anatomical and pathological element classification were recorded for each group. RESULTS: Statistically significant differences were obtained for the diameter and the clinical state in patients with positive manoeuvres with regard to other groups. The diameter was greater and the clinical state more severe (C4, C5 and C6) when two manoeuvres were positive. CONCLUSIONS: The presence of both positive manoeuvres in the SFJ is related to severe clinical states and greater diameters of the GSV, allowing the establishment of a prognosis of the CVI and the most suitable surgical approach.
A Mdez-Herrero; J Gutiérrez; L Camblor; J Carreño; J Llaneza; J Rguez-Olay; E Suarez
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Phlebology / Venous Forum of the Royal Society of Medicine     Volume:  22     ISSN:  0268-3555     ISO Abbreviation:  Phlebology     Publication Date:  2007  
Date Detail:
Created Date:  2008-02-13     Completed Date:  2008-02-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9012921     Medline TA:  Phlebology     Country:  England    
Other Details:
Languages:  eng     Pagination:  207-13     Citation Subset:  IM    
Department of Vascular Surgery, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
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MeSH Terms
Chronic Disease
Femoral Vein / physiopathology,  surgery,  ultrasonography*
Middle Aged
Patient Selection
Saphenous Vein / physiopathology,  surgery,  ultrasonography*
Severity of Illness Index
Ultrasonography, Doppler, Duplex
Valsalva Maneuver
Varicose Veins / physiopathology,  surgery,  ultrasonography*
Vascular Surgical Procedures
Venous Insufficiency / physiopathology,  surgery,  ultrasonography*

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