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Preoperative Evaluation of Chronic Venous Insufficiency with Duplex Scanning and Venography

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Atlas of Endoscopic Perforator Vein Surgery

Abstract

Preoperative evaluation of patients who suffer from chronic venous disease due to previous deep venous thrombosis or primary valvular incompetence has substantially changed in the last decade. Color duplex scanning is now widely available, and it has become the most useful preoperative test for evaluation of chronic venous insufficiency. We reserve contrast venography for those patients who have evidence of significant deep venous occlusion or for those who are potential candidates for deep vein reconstructions. In this chapter we will discuss advantages of duplex scanning over other diagnostic tests and present techniques of duplex examination we use to confirm valvular incompetence in leg veins. We also discuss current indications and technical details of ascending and descending contrast venography.

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Authors
  1. Peter Gloviczki
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  2. Bradley D. Lewis
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  3. John R. Lindsey
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  4. Michael A. McKusick
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Editor information

Editors and Affiliations

  1. Mayo Medical School, USA

    Peter Gloviczki MD, FACS (Professor of Surgery, Vice-Chair) (Professor of Surgery, Vice-Chair)

  2. Division of Vascular Surgery, Mayo Clinic and Foundation, Rochester, Minnesota, USA

    Peter Gloviczki MD, FACS (Professor of Surgery, Vice-Chair) (Professor of Surgery, Vice-Chair)

  3. Loma Linda University Medical Center, Loma Linda, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  4. University of Southern California, San Diego, San Diego, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  5. Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  6. Northwestern University Medical School, Chicago, Illinois, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  7. Scripps Memorial Hospital, La Jolla, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

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© 1998 Springer-Verlag London Limited

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Gloviczki, P., Lewis, B.D., Lindsey, J.R., McKusick, M.A. (1998). Preoperative Evaluation of Chronic Venous Insufficiency with Duplex Scanning and Venography. In: Gloviczki, P., Bergan, J.J. (eds) Atlas of Endoscopic Perforator Vein Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-1527-4_7

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  • DOI: https://doi.org/10.1007/978-1-4471-1527-4_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1529-8

  • Online ISBN: 978-1-4471-1527-4

  • eBook Packages: Springer Book Archive

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