Duplex sonographic evaluation of the sapheno-femoral venous junction in patients with recurrent varicose veins after surgical treatment

Benabou, Joseph Elias; Molnar, Laszlo J.; Cerri, Giovanni Guido

doi:10.1002/(sici)1097-0096(199810)26:8<401::aid-jcu5>3.0.co;2-m

Cited by 15 publications

(12 citation statements)

References 17 publications

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“…The diagnosis of recurrent varicose veins and their possible causes is made initially by clinical examination 5,[7][8][9]19,20 . With the increasing use of color Doppler flow mapping, the investigation of recurrent varicose veins and their causes have easier and thorough [16][17][18][19][20] . The clinical examination now plays a secondary role in the decision-making process.…”

Section: Discussionmentioning

confidence: 99%

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Estudo comparativo entre os achados do exame físico, do mapeamento com eco-color Doppler e da exploração cirúrgica na recidiva das varizes de membros inferiores a partir da junção safeno-femoral

et al. 2011

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CONTEXTO: A recidiva de varizes em membros inferiores é complicação frequente da safenectomia e sua incidência atinge até 80% dos casos. OBJETIVO: Avaliar a sensibilidade do exame físico e do mapeamento com eco-color Doppler no diagnóstico da insuficiência do coto da veia safena magna, em doentes previamente operados, comparando-os com os achados da exploração operatória da junção safeno-femoral. MÉTODOS: Foram estudados prospectivamente 30 doentes envolvendo 37 membros submetidos previamente à safenectomia magna para tratamento de varizes e que foram reoperados por recidiva de varizes na região inguinal ou em face anterossuperior da coxa. Todos os doentes foram submetidos ao mapeamento com eco-color Doppler. Os dados foram comparados com os achados da exploração da crossa da veia safena magna na reoperação. RESULTADOS: A sensibilidade do mapeamento com eco-color Doppler para a presença de insuficiência do coto da veia safena magna foi de 70,3% (26 concordâncias dentre os 37 membros) e resultados falsos negativos ocorreram em 29,7% (11) membros avaliados (p=0,03). A sensibilidade do achado de varizes na região inguinal e na face anteromedial da coxa com a presença de insuficiência do coto da veia safena magna foi de 100% (37 concordâncias dentre os 37 membros) e não houve resultados falsos negativos. CONCLUSÕES: No doente já submetido à safenectomia magna, a presença no exame físico de varizes recidivadas em região inguinal e na face anteromedial da coxa é sugestivo de insuficiência do coto da veia safena magna, devendo-se realizar o mapeamento com eco color Doppler para o adequado planejamento da reexploração da crossa da veia safena magna.

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Section: Discussionmentioning

confidence: 99%

“…Ecocolor Doppler mapping is regarded as a mandatory exam in the investigation of varicose vein recurrence 4,9,[16][17][18][19][20][21] . This exam, however, is dependent on the examiner's proficiency and, to date, there is no stan-dardization of eco-color Doppler in the evaluation of recurrent varicose veins 22,23 .…”

Section: Introductionmentioning

confidence: 99%

Estudo comparativo entre os achados do exame físico, do mapeamento com eco-color Doppler e da exploração cirúrgica na recidiva das varizes de membros inferiores a partir da junção safeno-femoral

et al. 2011

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“…Direct observation continues to supersede indirect assessment (Bradbury [9]). Notwithstanding exploration of the groin being the gold standard, echography can assist in locating the point of origin of recurrence (Benabou [10], De Maeseneer [11]). In our series, 33 cases out of 258 recurrences at the SFJ were actually related to perineal or inguinal collateral branches.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the efficacy of the color duplex, contrast descending phlebography and/or varicography is indis, pensable in difficult cases (Stonebridge [15], Perrin [16], Philips [17], and Benabou [10]). '~Three D'" reconstruction, using helical phteboscan, can also elicit accurate information.…”

Section: Discussionmentioning

confidence: 99%

Neovascularization is not a major cause of varicose vein recurrence

Moreau¹

2002

Int J Angiol

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“…Clinical assessment based on palpable and visible findings may not always be sensitive and specific enough -this is particularly true in obese patients, where incompetent veins are hardly visible, or invisible and among patients with recurrent varicose veins. Colour coded duplex sonography is particularly important in preoperative evaluation of the venous system before surgical treatment of primary and recurrent varicose veins (2,9). Nevertheless, even this method is not without limitations.…”

Section: Résumémentioning

confidence: 99%

The value of thermography in the preoperative mapping of primary and recurrent varicose veins

Staszkiewicz¹,

Madycki²,

Grzegrzólka³

et al. 2000

Phlebologie

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SummaryAim: Despite great advances in ultrasound diagnosis of the venous system, there is still a need for a quick and simple method of complex preoperative visualisation of the superficial venous system and its incompetent perforators. The aim of the study was to assess the usefullness of thermography in the preoperative mapping of the superficial venous system among patients with primary and recurrent varicose veins. Method: Authors examined prospectively 48 patients with varicose veins (36 with primary and 12 with recurrent varicose veins). Preoperative assessment was performed by means of infrared scanning (thermography). The results were verified by colour coded duplex ultrasound and intraoperative findings. In the results, the mapping of incompetent veins by thermography unit showed an excellent correlation with colour/duplex scan and intraoperative findings. The sensitivity and specificity for thermography were 85.4% and 93.7% respectively and were lower than the values acquired by US scanning (sensitivity and specificity – 89.6% and 97.7% respectively). Conclusion: Authors conclude, that colour/duplex ultrasound remains a method of choice in the preoperative evaluation of the entire venous system, but thermography offers a simple and quick method for complex mapping of the incompetent superficial venous system. This method might prove to be a helpful adjunct to the ultrasound, particularly in case of recurrent varicose veins or in cases, when the incompetent veins are not well seen (e. g. obesity).

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Duplex sonographic evaluation of the sapheno-femoral venous junction in patients with recurrent varicose veins after surgical treatment

Cited by 15 publications

References 17 publications

Estudo comparativo entre os achados do exame físico, do mapeamento com eco-color Doppler e da exploração cirúrgica na recidiva das varizes de membros inferiores a partir da junção safeno-femoral

Estudo comparativo entre os achados do exame físico, do mapeamento com eco-color Doppler e da exploração cirúrgica na recidiva das varizes de membros inferiores a partir da junção safeno-femoral

Neovascularization is not a major cause of varicose vein recurrence

The value of thermography in the preoperative mapping of primary and recurrent varicose veins

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