The cutoff value for the diameter of the saphenous vein in predicting the presence of venous insufficiency
The cutoff value for the diameter of the saphenous vein in predicting the presence of venous insufficiency
Aim: In this study aimed to investigate the relationship between saphenous vein diameters and reflux and to present their sensitivity and specificity values in predicting venous insufficiency (VI).Material and Methods: This study included 162 symptomatic patients admitted to our radiology clinic with complaints of VI in 317 of their lower extremities (LEs) and 67 asymptomatic healthy volunteers with their 134 LEs having no varicose veins. A total of 451 LEs were evaluated for VI with Doppler ultrasonography (US) in the standing position.Results: The saphenous vein diameters were higher at a statistically significant level in the symptomatic patient group than in the asymptomatic healthy volunteers (p
___
- Mendoza E, Blattler W, Amsler F. Great saphenous vein diameter at the saphenofemoral junction and proximal thigh as parameters of venous disease class. Eur J Vasc Endovasc Surg 2013;45(1):76-83.
- Necas M. Duplex ultrasound in the assessment of lower extremity venous insufficiency. Australas J Ultrasound Med 2010;13(4):37-45.
- Navarro, TP, Delis, KT, Ribeiro AP. Clinical and hemodynamic significance of the greater saphenous vein diameter in chronic venous insufficiency. Arch Surg 2002;137(11):1233-7.
- Engelhorn C, Engelhorn A, Salles-Cunha S, Picheth E, Castro Jr N, Dabul Jr N, et al. Relationship between reflux and greater saphenous vein diameter. J Vasc Technol 1997;21(3):167-72.
- Mdez-Herrero, A, Gutierrez J, Camblor L, Carreno, J, Llaneza J, Rguez-Olay J, et al. The relation among the diameter of the great saphenous vein, clinical state and haemodynamic pattern of the saphenofemoral junction in chronic superficial venous insufficiency. Phlebology 2007;22(5):207-13.
- Raju S, Ward M Jr, Jones TL. Quantifying saphenous reflux. J Vasc Surg Venous Lymphat Disord 2015;3(1):8-17.
- Hamper UM, DeJong MR, Scoutt LM. Ultrasound evaluation of the lower extremity veins. Radiol Clin North Am 2007;45(3):525-47.
- Chwała M, Szczeklik W, Szczeklik M, Aleksiejew-Kleszczyński T, Jagielska-Chwała M. Varicose veins of lower extremities, hemodynamics and treatment methods. Adv Clin Exp Med 2015;24(1):5-14.
- Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation 2014;130(4):333-46.
- Nicolaides AN. Investigation of chronic venous insufficiency: A consensus statement. Circulation 2000;102(20):126-63.
- Thorisson HM, Pollak JS, Scoutt L. The role of ultrasound in the diagnosis and treatment of chronic venous insufficiency. Ultrasound Q 2007;23(2):137-50.
- Eklöf B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg 2004;40(6):1248-52.
- Coleridge-Smith P, Labropoulos N, Partsch H, Myers K, Nicolaides A, Cavezzi A. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part I. Basic principles. Eur J Vasc Endovasc Surg 2006;31(1):83-92.
- Joh, JH, Park, HC. The cutoff value of saphenous vein diameter to predict reflux. J Korean Surg Soc 2013;85(4):169-74.
- Gillespie, D, Glass, C. Importance of ultrasound evaluation in the diagnosis of venous insufficiency: guidelines and techniques. Semin Vasc Surg 2010;23(2):85-9.
- Cesarone MR, Belcaro G, Nicolaides AN, Geroulakos G, Griffin M, Incandela L, et al. Real epidemiology of varicose veins and chronic venous diseases: the San Valentino vascular screening project. Angiology 2002;53(2):119-30.