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

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

Autor Seidel, Amélia Cristina Autor UNIFESP Google Scholar
Miranda Junior, Fausto Autor UNIFESP Google Scholar
Juliano, Yara Autor UNIFESP Google Scholar
Novo, Neil Ferreira Autor UNIFESP Google Scholar
Santos, J. H. dos Google Scholar
Souza, D. F. de Google Scholar
Instituição Universidade Estadual de Maringá (UEM)
Universidade Federal de São Paulo (UNIFESP)
Santo Amaro Univ
Maringa Reg Hosp
Resumo Objectives. To determine the prevalence and distribution of primary venous re truncal saphenous reflux.Design. Prospective cohort study.Patients and methods. 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 a incompetent saphenous tributaries.Results. 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.Conclusions. 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 show that varicose veins may occur in any vein and do not depend on truncal saphenous incompetence. Careful duplex ultrasound evaluation allows the pattern of venous reflux to be established in this group of patient ensuring appropriate management of varices.
Assunto venous reflux
duplex scanning
saphenous vein
varicose veins
superficial tributary veins
Idioma Inglês
Data 2004-10-01
Publicado em European Journal of Vascular and Endovascular Surgery. London: W B Saunders Co Ltd, v. 28, n. 4, p. 387-390, 2004.
ISSN 1078-5884 (Sherpa/Romeo, fator de impacto)
Editor W B Saunders Co Ltd
Extensão 387-390
Fonte http://dx.doi.org/10.1016/j.ejvs.2004.06.014
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000224042600007
URI http://repositorio.unifesp.br/handle/11600/27944

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