Endoscopic anatomy of perforating veins in chronic venous insufficiency of the legs: “Solitary” incompetent perforating veins are often actually multiple vessels

Haruta, Naoki; Shinhara, Ryo; Sato, Keizo; Ojima, Yasutomo; Yano, Masatugu; Watanabe, Hiroshi; Kawanishi, Hideki; Mochiduki, Takaaki; Asahara, Toshimasa

doi:10.1055/s-0031-1276441

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…One of the asserted mechanisms of the incompetency is enlargement of the diameter, in which incompetent PVs may serve as the re-entry point for superficial blood flow into DVS of patients with VVs [20,21]. The other proposed mechanism of incompetency is dysfunction due to irreversible valvular damage [19,21,22]. Irreversible valvular damage of incompetent PVs might be associated with recurrence of VVs after operating SVI; therefore, this type of incompetent PVs may require simultaneous treatment with SVI [19,21,22].…”

Section: Discussionmentioning

confidence: 99%

“…The other proposed mechanism of incompetency is dysfunction due to irreversible valvular damage [19,21,22]. Irreversible valvular damage of incompetent PVs might be associated with recurrence of VVs after operating SVI; therefore, this type of incompetent PVs may require simultaneous treatment with SVI [19,21,22].…”

Section: Discussionmentioning

confidence: 99%

“…Residual incompetent PVs associated with failure of treatment and aggressive procedures to manage incompetent PVs have improved the surgical outcome. The experiences gathered in clinical studies have also demonstrated that incompetent PVs are likely to be more important in the development of VVs [2,10,23]; if incompetent PVs can be selectively treated, more satisfactory results could be achieved [19,22]. Several authors suggest treating incompetent PVs in cases of focal swelling, pain, associated VVs, focal skin irritation, discoloration, venous ulceration in the area of the incompetent PVs, clinical severity, etiology, anatomy, and pathophysiology score more than four [24].…”

Section: Discussionmentioning

confidence: 99%

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Frequency and Significance of Perforating Venous Insufficiency in Patients with Chronic Venous Insufficiency of Lower Extremity

Tolu¹,

Durmaz²

2018

Eurasian J Med

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Objective: The aim of this study was to reveal the frequency and impact of perforating venous insufficiency (PVI) in chronic venous insufficiency (CVI) of lower extremity (LE). Results: PVI was revealed in 27.5% (n=571) of LEs. Varicose veins (VVs) related with perforating vein (PV) were revealed in 44.7% of LEs (n=929). PVI was observed in 50.91% of patients with chronic deep venous thrombosis (DVT), 64.41% with deep venous insufficiency (DVI), 59.81% with great saphenous vein (GSV) insufficiency, 68.49% with small saphenous vein (SSV) insufficiency, 58.65% with accessory GSV insufficiency, and 58.77% with PV associated with VVs. There was a statistically significant relationship between PVI and chronic DVT, DVI, GSV, SSV, and accessory GSV insufficiency (p<0.001). A significant relationship was observed between the increase in PV diameter and the presence of PVI (p<0.001). Materials and MethodsConclusion: PVI is quite common in combined VI, and PV evaluation should be a part of LE venous system examination.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Frequency and Significance of Perforating Venous Insufficiency in Patients with Chronic Venous Insufficiency of Lower Extremity

Tolu¹,

Durmaz²

2018

Eurasian J Med

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“…Additionally, it has been demonstrated that perforating veins are frequently paired, and after one is treated, the other my increase in size and may or may not become incompetent. 19,42 This leads to some confusion about the efficacy of treatment if follow-up duplex ultrasonography demonstrates a large and/or incompetent perforating vein in the same general area as the previously treated vein. This does not mean that treating IPVs is a futile pursuit.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Ablation for the Treatment of Perforating Vein Incompetence

Elias

Peden

2007

Vascular

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Recent advances in catheter-based endovenous interventions have broadened our understanding in the pathophysiology and therapeutic strategies of chronic venous insufficiency, a condition that can be caused by abnormality of various lower extremity venous structures, including superficial or deep vein reflux or incompetent perforating veins. This article reviews the history and therapeutic principles of percutaneous ablation of perforators (PAPs). Discussions related to treatment strategies and procedural techniques of PAPs using radiofrequency ablation, laser energy, and sclerosant injection are provided. Current clinical results of PAPs with radiofrequency and laser energy ablation as a treatment modality of chronic venous insufficiency are also discussed.

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Endoscopic anatomy of perforating veins in chronic venous insufficiency of the legs: “Solitary” incompetent perforating veins are often actually multiple vessels

Cited by 2 publications

References 5 publications

Frequency and Significance of Perforating Venous Insufficiency in Patients with Chronic Venous Insufficiency of Lower Extremity

Frequency and Significance of Perforating Venous Insufficiency in Patients with Chronic Venous Insufficiency of Lower Extremity

Ultrasound-Guided Percutaneous Ablation for the Treatment of Perforating Vein Incompetence

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