Incompetent Perforating Veins are Associated with Recurrent Varicose Veins

Abstract

patients with recurrent varicose veins have both a higher prevalence and a greater number of incompetent perforating veins than patients with primary varicose veins.

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

“…DVI is rarely the primary cause. The correlation between the occurrence of insufficiency of GSV and PVs has been revealed [6,[14][15][16][17]. In many studies and our study, PVI was found to be most frequently associated with insufficiency in deep veins, GSV, SSV, anterior/posterior accessory GSV, and chronic DVT.…”

Randomized Clinical Trial Comparing Two Methods for Endovenous Laser Ablation of Incompetent Perforator Veins in Thigh and Great Saphenous Vein Without Evidence of Saphenofemoral Reflux

“…It has been suggested that up to 80% of IPVs become competent after standard varicose vein surgery, 9 but IPVs are thought to be the cause of recurrence in up to 50% of legs. [10][11][12] They are also more commonly seen in patients with recurrent than primary varicose veins 13,14 and in limbs with primary varicose veins than in those with no varicose veins. 8 Although IPVs are often seen in patients with deep and superficial insufficiency, the hemodynamic influence of IPVs and clinical benefit attributable to interruption of IPVs have been controversial, but the presence of IPVs after ablation of the GSV has been defined as a major risk factor for nonhealing and recurrent leg ulcers in patients with severe chronic venous disease (CEAP classification C4-C6) and for recurrent varicosities in patients with mild to moderate chronic venous disease (CEAP classification C1-C3).…”

Evaluation of the Results of Phlebectomy Without Ligation of Incompetent Perforating Veins in Primary Varicose Veins of Lower Extremities

“…3. По 3 перфорантным венам (диаметр менее 3,5 мм) сохранился двунаправленный поток, но время рефлюкса было от 0,3 до 0,5 с. В ряде исследований только рефлюкс до 0,3 с по перфорантным венам считается физиологичным [16], поэтому можно ли считать, что они полноценно восстановили свою функцию, остается неясным.…”

“…В то же время, в литературе встречаются немного работ по результатам флебэктомии без лигирования перфорантных вен [3,9], больше уделяется внимание миниинвазивным способам устранения поверхностного и горизонтального рефлюксов [2,5]. А практические хирурги очень настороженно относятся к данному подходу [14,16,18].…”