Venous ultrasonography findings and clinical correlations in 104 Thai patients with chronic venous insufficiency of the legs

Kanchanabat, Burapa; Stapanavatr, Waigoon

doi:10.11622/smedj.2017043

Cited by 9 publications

(10 citation statements)

References 18 publications

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“…Kanchanabat et al also supported the same findings, noting CVI to be more prevalent among females (54.4%). 8 ) However, the findings of the study conducted by Khan et al proved otherwise, demonstrating that CVI was more prevalent in males (52.6%) compared to females (47.4%). The difference may be due to different selection criteria and different population studied (hospital vs. community).…”

Section: Discussionmentioning

confidence: 88%

“…Univariate analysis factors associated with severity of disease (n=121) Significant also noted that CVI was common among female patients in a study they have conducted on hospital patients. Kanchanabat et al also supported the same findings, noting CVI to be more prevalent among females (54.4%) 8). However, the findings of the study conducted by Khan et al proved otherwise, demonstrating that CVI was more prevalent in males (52.6%) compared to females (47.4%).…”

mentioning

confidence: 75%

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Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study

Rehman

2021

Annals of Vascular Diseases

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Objective : To measure the pattern and severity of chronic venous insufficiency (CVI) in patients presenting to a vascular surgery clinic in Pakistan. Materials and Methods : This cross-sectional study has examined patients presenting with CVI for the first time. Patients were assessed for severity of the disease using clinical, etiological, anatomical and pathological (CEAP) score and venous clinical severity score (VCSS). Patients were then divided into two groups depending on the severity of the disease: ‘mild/moderate’ CVI if the CEAP classification was ≤C3 or VCSS was <5 and ‘severe’ if CEAP classification was >3 or VCSS was ≥5. Both groups were then compared to determine the factors associated with the more ‘severe’ form of CVI. Results : During the study duration, 121 patients presented with CVI with mean age of 47.83±12.02 years; 74 (61.2%) were female. Mean body mass index of the patients was 32.49±18.3 kg/m 2 . Mean VCSS was 5.49±3.84, indicating most patients presented with the severe form of CVI. Field workers were determined to be three to five times more likely to present with severe CVI compared to housewives and office workers. Conclusion : Majority of the patients who presented to a tertiary care facility had the severe form of CVI. Thus, there is a need to raise awareness on this disease at community level.

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Section: Discussionmentioning

confidence: 88%

mentioning

confidence: 75%

Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study

Rehman

2021

Annals of Vascular Diseases

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“…This is probably due to the fact that SSV insufficiency is rarer. 20 Failure to remove all varicosities was compensated as PI for the operations carried out in 2003 and 2005. It is possible that more recent decisions would not consider patient’s experienced insufficient removal of side branches as a compensable injury as treatment of the truncal disease is, nowadays, considered the main focus of the approach.…”

Section: Discussionmentioning

confidence: 99%

Patient injuries in the treatment of superficial venous insufficiency registered in Finland between 2004 and 2017

et al. 2020

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Objectives This study aimed to identify the unintended incidents that led to patient injuries (PIs) in the treatment of superficial venous insufficiency (SVI). Methods PI claims filed with the Finnish Patient Insurance Centre between 2004 and 2017 involving SVI were reviewed. Factors contributing to PI were identified and classified. Results Eighteen (13.2%) of 136 compensated PIs in the specialty of vascular surgery were related to SVI. Only 4.7% of 383 SVI claims were compensated. The incidence of PIs was 9.9 per 100 000 patients. Fifteen patients had open surgery (83.3%) and three (16.7%) endovenous treatment. Two (11.1%) patients had necrotising fasciitis, four (22.1%) had deep vein injuries and two (11.1%) had a permanent nerve injury. Two (11.1%) patients had retained endovenous material that required surgical removal. Conclusions PIs were identifiable during all stages of care, perioperative injuries related to open surgery being the most common.

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“…33 Primary DVI has been well documented and may account for an unknown percentage of reflux in the deep vein system. Kanchanabat and Stapanavatr recently reported that, in DVT-negative patients, there is still a non-negligible incidence of deep venous reflux, 34 but insufficiency of deep veins in DVT-negative patients is not a new finding. In 1995, Caps et al detected the presence of a post-DVT valve insufficiency even in veins not involved primarily in the thrombotic process.…”

Section: Veins Insufficiency In Dvt-negative Limbs Without Ulcermentioning

confidence: 99%

Deep Venous Thrombosis and Ulcers of Lower Limbs: Ultrasound Findings in 156 Patients

Gilardi

Fiamma

et al. 2022

Int J Angiol

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Venous ulcers (VUs) of lower limbs affect 1% of Western population. In most cases, ultrasounds show only superficial venous insufficiency (SVI), but a deep venous insufficiency (DVI) may also be present without a history of deep vein thrombosis (DVT). To assess SVI and DVI in DVT-positive and DVT-negative patients with VU, a retrospective cohort of 123 patients entered the study (50 male and 73 female, minimum age 29 years and maximum age 90 years, and mean 70.6 years). In 56 patients (45.5%), ulcer was on the right leg, in 52 (42.3%) on the left leg, and in 15 patients (12.2%), ulcer was bilateral, resulting in a total number of 138 limbs in the study. Sixty-six patients suffered DVT, while in 72 anamnesis was negative. Color duplex ultrasound was performed on both limbs, which revealed insufficiencies of superficial and/or deep veins in 18 limbs which had not been affected by an ulcer or a previous DVT. So the study was on 156 limbs. SVI were substantially overlapping in two groups (p-value = 0.593), while combined SVI and DVI was 72.5% in DVT positive limbs (p-value = 0.001). In 70% of cases with a femoral vein insufficiency (p-value = 0.036) or popliteal vein insufficiency (PVI) (p-value 0,003), a DVT history was present. Of 18 limbs, although not affected by ulcer or previous DVT, eight were positive for DVI (two femoral veins and six popliteal veins). In the patient with VU, the history of DVT is a strong predictor of DVI insufficiency. In DVT-positive patients with ulcer, the number of “combined superficial and deep insufficiencies” appears to be particularly significant and surgical treatment must take this into account. A previous DVT has a low impact on great and small saphenous insufficiencies in ulcer patients; these were substantially overlapping in DVT-positive and DVT-negative patients. The 18 limbs with DVI and SVI without ulcer and DVT history were unexpected result. We think these patients must have a close follow-up to avoid the onset of a VU.

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Venous ultrasonography findings and clinical correlations in 104 Thai patients with chronic venous insufficiency of the legs

Cited by 9 publications

References 18 publications

Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study

Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study

Patient injuries in the treatment of superficial venous insufficiency registered in Finland between 2004 and 2017

Deep Venous Thrombosis and Ulcers of Lower Limbs: Ultrasound Findings in 156 Patients

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