Correction of Lower Extremity Deep Venous Incompetence by Ablation of Superficial Venous Reflux

The importance of deep venous reflux velocity as a determinant of outcome in patients with combined superficial and deep venous reflux treated with endovenous saphenous ablation

“…While some authors have reported deep venous reflux resolution after saphenous vein stripping procedures, 3,4 others have reported poor clinical outcomes after saphenous removal in the presence of deep venous insufficiency. 5 We have recently observed that patients with superficial reflux commonly display low velocity reflux in the deep veins, most often in the popliteal segment, that persists longer than 0.5 seconds, satisfying the criteria for deep venous reflux.…”

The Incidence, Clinical Importance and Management of Incompetent Gastrocnemius Vein

“…Although it has been suggested that femoral and popliteal vein incompetency regresses after the management of saphenous incompetency, 4,12,13,[22][23][24] the fate of an incompetent GCV is unknown. 12) In the early three cases and the great saphenous vein case, the incompetency of the GCV did not improve after saphenous vein surgery.…”

Compression Sclerotherapy for Primary Valvular Insufficiency –From Liquid to Foam–

“…22) Even in patients with combined superficial and deep vein insufficiency, ablation of reflux in the superficial venous system may lead to abolishment of deep vein reflux. 23,24) Therefore, foam sclerotherapy is a good treatment option for these patients.…”