Correlation of the anatomical distribution of venous reflux with clinical symptoms and venous haemodynamics in primary varicose veins

Abstract

Patients at high risk of developing complications of venous disease may be identified by an accurate non-invasive evaluation of reflux patterns.

The distribution and significance of varicosities in the saphenous trunks

“…5,6,10,18,19 Another study with a patient population of women with C2 disease demonstrated a prevalence of 60% with GSV reflux only, and 17% with SSV reflux only. 20 Currently, there is no explanation for this significant difference in prevalence.…”

“…Our findings indicated that saphenous vein du- [2] Varicosity off the GSV at the knee, [3] Segmental hypoplasia of the GSV at the level of the varicosity, [4] Normal GSV below the hypoplastic segment with varicose tributaries). b, Varicosities of the small saphenous vein (SSV) ([1] GSV, [2] tortuous SSV, [3] cranial or dorsal extension of SSV, [4] medial gastrocnemial vein, [5] common trunk of SSV with gastrocnemial veins, [6] popliteal vein, [7] communicating vein of the calf between the SSV and GSV). Courtesy of Dr Jean-Francoise Uhl. plication is rare and is not associated with the severity of CVD.…”

“…4 It has been well established that varicosities involve the tributaries and the accessory veins. [5][6][7] Varicosities in the main trunk of the great and small saphenous veins (GSV and SSV) have been reported, [5][6][7][8][9] but not the exact distribution and extent throughout the saphenous venous system. Additionally, reflux of the saphenous trunks has been implicated in the development of varicose veins, [10][11][12][13] yet this correlation in conjunction with the distribution of the varicosities remains to be elucidated.…”

Duplex mapping of 2036 primary varicose veins

“…The frequency of reflux in the SFJ, according to the studies reviewed, is between 53% and 89.8%. [1][2][3]8,[16][17][18][19][20] We have noted that finding reflux in the groin does not imply that it originates at that point, as reflux from the pelvis or abdominal wall can also cause primary VVs (SFJ reflux, 41.9% and competent SFJ with reflux from proximal veins, 35.4%). We also noted that analyzing only the presence of reflux in the SFJ of the GSV would miss 10.9% of limbs of reflux in the SFJ of the AAGSV.…”

Reflux or not reflux? Reflexiones sobre la publicación anglosajona del término en las varices primarias de los miembros inferiores en relación con nuestro entorno

“…En cambio, hemos considerado VP de reentrada a aquella que presenta un fl ujo anterógrado en diástole mucho mayor que el fl ujo retrógrado en sístole. Varios trabajos 28,33,36,46 publican la mayor frecuencia de las VP insufi cientes en la pierna con respecto al muslo, pero desde nuestro punto de vista, creemos que podrían corresponder, en su gran mayoría, a puntos de reentrada.…”