RT info:eu-repo/semantics/article
T1 Duplex mapping of 2036 primary varicose veins
A1 García Gimeno, Miguel Ángel
A1 Rodríguez Camarero, Santiago
A1 Tagarro Villalba, Salvador
A1 Ramalle Gomara, Enrique
A1 González González, Enma
A1 González Arranz, Miguel Ángel
A1 López García, Diego
A1 Vaquero Puerta, Carlos
K1 Hemodinámica
K1 Venas-Enfermedades
AB Objective: To produce a comprehensive anatomical and hemodynamic ultrasound scan mapping of the whole limb inpatients with primary varicose veins (VVs).Design: An analysis of venous duplex scans performed on patients referred for treatment of primary VVs.Methods: A total of 2036 limbs were evaluated, looking for the origin of VVs in the saphenous systems and in theperforating vein (PV) systems, as well as for the presence of non-saphenous reflux.Results: The sapheno-femoral junction (SFJ) of the great saphenous vein (GSV) was involved in 1330 limbs (65.3%). Wehave noted that finding reflux in the groin does not imply that it originates at that point necessarily, as reflux from thepelvis or abdominal wall can also cause primary VVs (SFJ reflux, 41.9% and competent SFJ with reflux from proximalveins, 35.4%). We also noted that analyzing only the presence of reflux in the SFJ of the GSV would miss 10.9% of limbsof reflux in the SFJ of the anterior accessory GSV. In 237 limbs (11.6%), reflux was observed in the popliteal fossa. In thePV system, we distinguished those PVs with retrograde flow that acted as an origin of the VVs, and other PVs that actedas re-entry points. Based on this difference, the location identified as the most frequent origin of VVs in the PV systemwas the thigh, specifically in the group of PVs of the medial thigh of the femoral canal, with 85 PVs with a total of 238incompetent PVs identified. Pure non-saphenous reflux was observed in 162 limbs (8%).Conclusion: The assumption that the origin of VVs would be exclusively in the sapheno-femoral or sapheno-poplitealjunction, is a mistaken attitude and a comprehensive duplex scan mapping is recommended. ( J Vasc Surg 2009;49:
PB Society of Vascular Surgery
SN 0741-5214
YR 2009
FD 2009
LK http://uvadoc.uva.es/handle/10324/3254
UL http://uvadoc.uva.es/handle/10324/3254
LA eng
NO Journal of Vascular Surgery, March 2009, vol. 49, n. 3. p.681-689
NO Producción Científica
DS UVaDOC
RD 02-dic-2024