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Ultrasound Doppler Evaluation of the Pattern of Involvement of Varicose Veins in Indian Patients

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Abstract

Doppler evaluation of lower limb veins was performed to evaluate the pattern of involvement of various sites of incompetence in Indian patients with varicose veins. A prospective Doppler study of 100 consecutive limbs in patients who presented with varicose veins to the vascular surgery department of a tertiary care hospital in India. The Clinico-Etiological Anatomical and Pathological (CEAP) classification was applied for assessment. Doppler evaluation of both superficial and deep venous system of the lower limbs was performed. The data of various sites of reflux was analysed to find the patterns of venous involvement in the affected patients. Superficial venous reflux was seen in all the patients. Deep venous reflux was seen in 50% of the lower limbs examined. Doppler is a simple non-invasive test, and is well tolerated by the patients. Deep venous reflux is common in Indian population, though it rarely occurs in isolation, and is usually associated with superficial reflux.

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References

  1. Houghton AD, Panayiotopoulos Y, Taylor PR (1996) Practical management of primary varicose veins. Br J Clin Pract 50(2):103–105

    CAS  PubMed  Google Scholar 

  2. Callam MJ (1994) Epidemiology of varicose veins. Br J Surg 81(2):167–173

    Article  CAS  PubMed  Google Scholar 

  3. Davy A (1983) Epidemiology of varicose veins. Phlebologie 36(1):23–28

    CAS  PubMed  Google Scholar 

  4. Malhotra SL (1972) An epidemiological study of varicose veins in Indian railroad workers from the South and North of India, with special reference to the causation and prevention of varicose veins. Int J Epidemiol 1(2):177–183

    Article  CAS  PubMed  Google Scholar 

  5. Dixon PM (1996) Doppler ultrasound in the pre-operative assessment of varicose veins. Australas Radiol 40(4):416–421

    Article  CAS  PubMed  Google Scholar 

  6. Masuda EM, Kistner RL, Eklof B (1994) Prospective study of Doppler scanning for venous reflux: comparison of Valsalva and pneumatic cuff techniques in the reverse Trendelenburg and standing positions. J Vasc Surg 20(5):711–720

    Article  CAS  PubMed  Google Scholar 

  7. Jeanneret C, Labs KH (1999) Physiological reflux and venous diameter change in the proximal lower limb veins during a standardised Valsalva manoeuvre. Eur J Vasc Endovasc Surg 17(5):398–403

    Article  CAS  PubMed  Google Scholar 

  8. Cohen J (1991) Venous insufficiency and oral contraception. Rev Fr Gynecol Obstet 86(2 Pt 2):187–189

    CAS  PubMed  Google Scholar 

  9. Evans CJ, Fowkes FG (1999) Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health 53(3):149–153

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Evans CJ, Allan PL, Lee AK et al (1998) Prevalence of venous reflux in the general population on Doppler scanning: the edinburgh vein study. J Vasc Surg 28:767–776

    Article  CAS  PubMed  Google Scholar 

  11. Ioannou CV, Giannoukas AD et al (2003) Patterns of venous reflux in limbs with venous ulcers. Implications for treatment. Int Angiol 22(2):182–187

    CAS  PubMed  Google Scholar 

  12. Magnusson MB, Nelzen O, Risberg B, Sivertsson R (2001) A colour Doppler ultrasound study of venous reflux in patients with chronic leg ulcers. Eur J Vasc Endovasc Surg 21(4):353–360

    Article  CAS  PubMed  Google Scholar 

  13. Tassiopoulos AK, Golts E et al (2000) Eur J Vasc Endovasc Surg 20(3):227–232

    Article  CAS  PubMed  Google Scholar 

  14. Walsh JC, Bergan JJ, Beeman S, Comer T (1994) Femoral venous reflux abolished by greater saphenous vein stripping. Ann Vasc Surg 566–570.

  15. Stuart WP, Adam DJ, Allan PL et al (2000) The relationship between the number, competence, and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. J Vasc Surg 32(1):138–143

    Article  CAS  PubMed  Google Scholar 

  16. Labropoulos N, Mansour MA et al (1999) New insights into perforator vein incompetence. Eur J Vasc Endovasc Surg 18(3):228–234

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Aparna Irodi.

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Irodi, A., Keshava, S.N., Agarwal, S. et al. Ultrasound Doppler Evaluation of the Pattern of Involvement of Varicose Veins in Indian Patients. Indian J Surg 73, 125–130 (2011). https://doi.org/10.1007/s12262-010-0195-0

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  • DOI: https://doi.org/10.1007/s12262-010-0195-0

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