Development of reflux in the perforator veins in limbs with primary venous disease

Journal of Vascular Surgery
N LabropoulosLuis R Leon

Abstract

To determine the patterns by which perforator vein (PV) reflux develops in patients with primary chronic venous disease (CVD). Patients with CVD who had at least two examinations with duplex ultrasonography before any treatment were included in this study. These were patients who were offered an operation at their first visit, but for various reasons treatment was postponed. All affected limbs were classified by the CEAP classification system. A detailed map of normal and refluxing sites was drawn on an anatomic chart by using several landmarks of the skin, muscle, and bone. Reflux was induced by distal limb compression followed by sudden release by using rapid-inflation pneumatic cuffs and dorsiplantar flexion. All new reflux sites were documented. The PV reflux was divided into ascending type, descending type (re-entry flow), and those that developed in new locations, which did not have reflux in any system at that level. The total number of patients studied was 127 (158 limbs). There were 29 limbs (18%) in 26 patients with reflux development in the PV. In total, 38 new incompetent PVs were identified. The median time for the examination was 25 months (range, 9-52 months). Reflux in a previously normal PV at a re-entry site w...Continue Reading

References

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Sep 30, 2000·Journal of Vascular Surgery·N LabropoulosW H Baker
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Nov 9, 2001·Journal of Vascular Surgery·N LabropoulosW H Baker
Mar 8, 2005·Radiology·Konstantinos T Delis
Mar 16, 2005·Journal of Vascular Surgery·Nicos LabropoulosFred N Littooy
Apr 9, 2005·World Journal of Surgery·Paolo Zamboni

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Citations

Aug 6, 2010·Seminars in Vascular Surgery·J Leigh Eidson, Ruth L Bush
Dec 6, 2006·Journal of Vascular Surgery·Alberto CaggiatiMaria Cristina Acconcia
Jun 3, 2009·The American Journal of Medicine·Brian Kouri
Aug 19, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M S Whiteley
Mar 20, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Nicos LabropoulosDimitrios Kontothanassis
Mar 10, 2009·Journal of Vascular Surgery·Nicos LabropoulosApostolos K Tassiopoulos
Apr 3, 2008·The Journal of Cardiovascular Nursing·Teresa Kelechi, Phyllis A Bonham
Jan 18, 2017·Phlebology·Judit R HetthéssyGyörgy L Nádasy
Dec 19, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Roman A TauraginskiiRishal Agalarov

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