Prevalence of varicose veins and venous anatomy in patients without truncal saphenous reflux

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
A C SeidelD F de Souza

Abstract

To determine the prevalence and distribution of primary venous reflux in the lower limbs in patients without truncal saphenous reflux. Prospective cohort study. One thousand and seven hundred and twelve patients with suspected venous disease were examined by duplex ultrasonography. Seven hundred and thirty-five patients had primary varicose veins with competent saphenous trunks. Limbs with truncal saphenous reflux, deep vein reflux or obstruction, previous injection sclerotherapy or vein surgery, arterial disease and inflammation of non-venous origin were excluded from further consideration. The CEAP classification system was used for clinical staging. Systematic duplex ultrasound examination was undertaken to assess the distribution of incompetent saphenous tributaries. The prevalence of primary reflux with competent saphenous trunks was 43%. Reflux of GSV calf tributaries was the most common. The majority of the limbs (96%) belonged to chronic venous disease classes C1 and C2 of the CEAP classification. Superficial venous reflux causing varicose veins in the presence competent saphenous trunks is very prevalent in this series in contrast to other studies, presumably reflecting differing patient populations. Our data clearly s...Continue Reading

References

Dec 31, 1997·Journal of Vascular Surgery·N LabropoulosW H Baker
Sep 10, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N LabropoulosW H Baker
Nov 5, 1999·Journal of Vascular Surgery·J L SandriS X Salles-Cunha
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Citations

Jan 4, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Sang Woo ParkIl Soo Chang
Dec 6, 2006·Journal of Vascular Surgery·Alberto CaggiatiMaria Cristina Acconcia
Jan 3, 2006·Seminars in Cutaneous Medicine and Surgery·Yung-Feng Lo, Chih-Hsun Yang
Mar 26, 2015·Cardiovascular and Interventional Radiology·Anthony James Lopez
Mar 10, 2009·Journal of Vascular Surgery·Miguel García-GimenoCarlos Vaquero Puerta
Mar 21, 2009·Cirugía española·Germán Morales-CuencaJose Luis Aguayo-Albasini
Feb 22, 2012·Phlebology·M García-GimenoC Vaquero Puerta
May 16, 2009·Phlebology·P Bachoo
Nov 1, 2018·Jornal Vascular Brasileiro·Carlos Alberto EngelhornRaquel Cristine Gomes da Costa
Jan 17, 2020·Annals of Vascular Diseases·Hitoshi Kusagawa

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