Patterns of reflux in recurrent varicose veins assessed by duplex scanning

Redwood, N.F.W.; Lambert, Denis

doi:10.1002/bjs.1800811014

Cited by 42 publications

(16 citation statements)

References 5 publications

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“…Pathological reflux was defined as reversal of the colour Doppler signal and the pulsed Doppler signal for more than 0.5 s after a manual calf squeeze [19][20][21].…”

Section: Assessment Of the Effectiveness Of The Sfj Ligationmentioning

confidence: 99%

Duplex Ultrasound Assessment of Neovascularization after Saphenofemoral or Sapheno-Popliteal Junction Ligation

et al. 1997

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Objective: Evaluation of neovascularization at the saphenous ligation site as a cause of recurrent varicose veins. Design: Prospective duplex study of a single patient group. Setting: Vascular clinic of a University Hospital. Patients: 131 patients (177 limbs) were evaluated 2 and 12 months after varicose vein surgery. Intervention: Clinical assessment and colour duplex scanning of operated limbs. Main outcome measures: Limbs were classified according to the degree of neovascularization: grade 0 = no new communicating vein, grade 1 =new communicating vein with diameter < 4 mm, and grade 2 = new communicating vein with diameter > 4 mm and pathological reflux. Results: Two months postoperatively, grade 0 was observed in 173 limbs (98%) and grade I in four limbs (2%). Twelve months postoperatively, 152 limbs (86%) scored grade 0, 16 limbs (9%) grade 1 and nine limbs (5%) grade 2. Conclusions: After correctly performed previous surgery, neovascularization of varying degree may occur within 1 year, as can be demonstrated on postoperative duplex examination.

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“…Pathological reflux was defined as reversal of the colour Doppler signal and the pulsed Doppler signal for more than 0.5 s after a manual calf squeeze [19][20][21].…”

Section: Assessment Of the Effectiveness Of The Sfj Ligationmentioning

confidence: 99%

Duplex Ultrasound Assessment of Neovascularization after Saphenofemoral or Sapheno-Popliteal Junction Ligation

et al. 1997

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“…confirm that 20% of recurrences occur in the first year, using the same diagnostic parameters 11 . These results have been confirmed by Redwood and Lambert, with 58% having some form of residual SFJ incompetence after stripping 12 . Sheppard has shown that 90% of 204 recurrent limbs were associated with neovascularization 13 and these findings have been reiterated by Glass 14 .…”

Section: Discussionmentioning

confidence: 70%

Long‐term comparison of external valvular stenting and stripping of varicose veins

Lane

Graiche

Coroneos

et al. 2003

ANZ Journal of Surgery

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“…I). The most common source of recurrence following surgery of the long saphenous system is the sapheno-femoral junction (Figs 2,3) [18][19][20]. However, this only accounts for 40% of new varices, and reliable investigation is necessary to determine whether veins fill from other sources.…”

Section: Assessment Of Patients With Recurrent Varicose Veinsmentioning

confidence: 99%

Investigation of Venous Disease

Smith

2001

Phlebology

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Aim: To review the investigations which are performed in patients presenting with varicose veins prior to treatment. Method: A review of current literature in the field of the investigation of venous disease of the lower limb has been conducted using MedLine. Synthesis: Continuous wave (CW) Doppler is effective in detecting venous reflux in the sapheno-femoral junction and the long saphenous vein. In the popliteal fossa, for perforating veins and for the deep veins this technique has reduced accuracy. Duplex ultrasonography is widely used in the management of venous disease of the lower limb. This investigation provides reliable anatomical information but limited functional data about the veins. Phlebography and varicography are effective investigations but are being replaced by duplex ultrasonography. Plethysmographic tests assess venous function but are poor at anatomical identification of the problem. They may be used in the monitoring of venous function during treatment and in identifying the contribution of superficial venous reflux in patients with combined deep and superficial venous disease. Conclusion: Clinical examination is no longer sufficient to assess patients with venous disease of the lower limb prior to surgery. CW Doppler is the minimum investigation but duplex ultrasonography is the most effective non-invasive investigation. Plethysmographic tests have limited application in the management of varicose veins.

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Patterns of reflux in recurrent varicose veins assessed by duplex scanning

Cited by 42 publications

References 5 publications

Duplex Ultrasound Assessment of Neovascularization after Saphenofemoral or Sapheno-Popliteal Junction Ligation

Duplex Ultrasound Assessment of Neovascularization after Saphenofemoral or Sapheno-Popliteal Junction Ligation

Long‐term comparison of external valvular stenting and stripping of varicose veins

Investigation of Venous Disease

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