RT info:eu-repo/semantics/article
T1 Reflux patterns and risk factors of primary varicose veins clinical severity
A1 García Gimeno, Miguel Ángel
A1 Rodríguez Camarero, Santiago
A1 Tagarro Villalba, Salvador
A1 Ramalle Gomara, Enrique
A1 Ajona García, J. A.
A1 González Arranz, Miguel Ángel
A1 López García, Diego
A1 González González, Enma
A1 Vaquero Puerta, Carlos
K1 Varices-Tratamiento
AB AbstractObjectives: Primarily, to determine the association between the clinical severity of primaryvaricose veins and different reflux patterns in an anatomic and haemodynamic clinicalstudy using duplex ultrasonography (DU). Secondly, to analyse the association of clinicalseverity with other aspects, such as risk factors for chronic venous insufficiency (CVI) andother concurrent diseases.Method: A total of 2036 limbs were evaluated using DU. Clinical status was characterized bythe CEAP (clinical, aetiological, anatomical and pathological elements) classification. Thedegree of clinical severity was grouped into two categories, mild to moderate CVI (C1–C3)and severe CVI, characterized by the presence of skin changes (C4–C6). We analysed theassociation of the different reflux patterns with CEAP status.Results: Saphenofemoral junction (SFJ) reflux of the great saphenous vein (GSV) wasassociated with the most severe form of the disease (odds ratio [OR] ¼ 2.96; confidenceinterval [CI] 95%: 2.2–3.8), whereas competent SFJ of the GSV with reflux from proximalveins (OR ¼ 2; CI 95%: 1.4–2.7) and the pure non-saphenous reflux (OR ¼ 4.1; CI 95%:1.8–9.0) were associated with mild to moderate CVI. Obesity increased the frequency ofsevere CVI 2.7 times (OR ¼ 2.7; CI 95%: 1.6–4.6); being a woman also increased thefrequency of more severe disease 1.3 times (OR ¼ 1.3; CI 95%: 1.0–1.7).Conclusion: Anatomical and haemodynamic studies by DU are postulated as a usefuldiagnostic tool that allow, by identifying the pattern of venous reflux of varicosepathology, characterization of the probable association to CVI clinical severity.
PB Universidad de Valladolid. Facultad de Medicina
YR 2012
FD 2012
LK http://uvadoc.uva.es/handle/10324/2923
UL http://uvadoc.uva.es/handle/10324/2923
LA eng
NO Phlebology, 2012, 1-9
NO Producción Científica
DS UVaDOC
RD 27-abr-2024