The use of routine duplex scanning in the assessment of varicose veins

The Australian and New Zealand Journal of Surgery
V WillsJ Chambers

Abstract

Clinical assessment has been shown to compare poorly with results of hand-held Doppler examination or venography in the evaluation of varicose veins. Although the use of duplex scanning has been well described in the assessment of varicose veins, there are few data comparing clinical and Doppler assessment with results of duplex scans. A total of 188 patients were referred with varicose veins to a sole specialist vascular surgeon over a 1-year period. After clinical and Doppler assessment, all patients were referred for a duplex scan which was performed by a trained vascular technician. The results of the duplex scan were compared retrospectively with the clinical and Doppler findings. A total of 315 legs were assessed over this period, with 38.7% having recurrent disease and 31.4% having trophic skin changes or ulceration. On duplex scanning, 198 legs (62.9%) had saphenofemoral junction incompetence, 61 legs (19.4%) had saphenopopliteal junction incompetence, 94 legs (29.8%) had perforator incompetence and 24 legs (7.6%) had deep venous incompetence. The respective sensitivity of clinical and Doppler assessment at these sites was 71.2, 36.1, 43.6 and 29.2%. If patients who were felt to have sole saphenofemoral junction incompe...Continue Reading

References

Apr 1, 1992·The Australian and New Zealand Journal of Surgery·F G QuigleyI B Faris
May 1, 1991·The British Journal of Surgery·A J ZukowskiH A Dudley
Jul 1, 1990·The Journal of Dermatologic Surgery and Oncology·P ThibaultW Lewis
Sep 1, 1989·The British Journal of Surgery·S N VasdekisA N Nicolaides
Dec 1, 1989·Journal of Vascular Surgery·S N VasdekisA N Nicolaides
Apr 1, 1987·The Australian and New Zealand Journal of Surgery·C Bladin, J P Royle
Oct 1, 1983·The Australian and New Zealand Journal of Surgery·A ChanJ P Royle
Nov 1, 1995·The Australian and New Zealand Journal of Surgery·S Vallance
Oct 1, 1994·The British Journal of Surgery·N F Redwood, D Lambert
Feb 1, 1994·The British Journal of Surgery·M J Callam
Mar 1, 1994·The British Journal of Surgery·A W BradburyC V Ruckley
Oct 1, 1995·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Y Tong, J Royle
Feb 1, 1996·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·M M BaldtG H Mostbeck
Sep 1, 1996·The Australian and New Zealand Journal of Surgery·R Englund

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Citations

Dec 31, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·W B CampbellUNKNOWN REACTIV (Randomised and Economic Analysis of Conservative Treatment or Interventions for Varicose veins) Study Participants
Mar 8, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J K F WongD M Nichols
May 7, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J J SmithA H Davies
May 22, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A DaherA F da Silva
Jun 9, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P JiangI A Thomson
Nov 19, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T RautioT Juvonen
Jun 6, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M B MagnussonR Volkmann
Jun 27, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S A MakrisN J M London
Sep 4, 2009·Scottish Medical Journal·C N ParnabyW P Stuart
Jan 17, 2013·The Journal of International Medical Research·X H DiaoJ Zhu
Apr 6, 2005·The British Journal of Surgery·L BlomgrenD Bergqvist
May 31, 2007·Annals of the Royal College of Surgeons of England·S BeraldoS R Dodds
Feb 14, 2002·The Medical Journal of Australia·Kenneth A Myers

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