Duplex mapping of 2036 primary varicose veins

Abstract

The assumption that the origin of VVs would be exclusively in the sapheno-femoral or sapheno-popliteal junction, is a mistaken attitude and a comprehensive duplex scan mapping is recommended.

Reflux patterns and risk factors of primary varicose veins’ clinical severity

“…2,3 We have previously published a study based on the assessment of the whole leg in patients with primary varicose veins (VVs) to show all possible patterns of reflux by a comprehensive anatomical and haemodynamic ultrasound scan mapping. 8 But in addition to correctly identifying the venous reflux point, it would be necessary to know the clinical impact on patients presenting with different reflux patterns, which would facilitate and justify surgical treatment. Therefore, an aspect of great interest and the aim of this study is to determine the clinical severity of association of varicose pathology with reflux patterns.…”

Associations of anterior accessory or thigh posterior tributary and great saphenous reflux patterns in early stages of chronic venous valvular insufficiency

“…Reflux at the AASV contributed to SFJ reflux; SFJ reflux prevalence almost tripled in cases of diffuse AASV reflux (Table 2). Garcia-Gimeno described AASV reflux prevalence over 10% for a sample population with over 60% SFJ reflux, 22 a group apparently with more advanced diseased than the one in this work. Determination of terminal valve patency is significant to design type of treatment.…”

“…1,3,6,7,12 Advances in duplex-Doppler ultrasonography have contributed to CVVI understanding, diagnosis, treatment and followup. 2,[8][9][13][14][15][16][17][18][19][20][22][23][24] International consensuses occurred to minimize confusion in past phlebologic literature. 1,5,10 Description of patient populations studied improved but studies of even more specific sample populations, based on gender for example, 25 should be promoted.…”

Proposal for a national coverage determination for the treatment of varicose veins and venous disease due to disparate Centers for Medicare and Medicaid Services local coverage determination policies

“…To ignore or to disallow treatment of these veins where appropriate is to ignore the evidence. [14][15][16][17] There is great disparity in the size limits allowed for endovenous ablation of the saphenous veins, with ranges from 12 to 20 mm for radiofrequency ablation and 20 to 30 mm to no limit for laser ablation. Appropriate guidelines should standardize any size limitations.…”