Progression of reflux patterns in saphenous veins of women with chronic venous valvular insufficiency

Engelhorn, Carlos Alberto; Manetti, R; Baviera, M; Bombonato, G M; Lonardoni, Maria Valdrinez Campana; Cassou, Maria Fernanda; Engelhorn, Ana Luiza; Salles-Cunha, Sérgio X.

doi:10.1258/phleb.2011.010077

Cited by 25 publications

(25 citation statements)

References 18 publications

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“…[1][2][3][4][5][6][7][8][9][10][11][12] CVVI is a common subset of chronic venous insufficiency (CVI). Modern tendency is to become more specific on phlebologic investigation.…”

Section: Introductionmentioning

confidence: 99%

“…We have focused on women with early stage. 2,[8][9] GSV reflux has been related to its diameter. 13 Patterns of saphenous vein reflux were created, improving communication with referring physicians.…”

Section: Introductionmentioning

confidence: 99%

“…13 Patterns of saphenous vein reflux were created, improving communication with referring physicians. 2,[8][9]14 These patterns specified reflux sources and drainage points. Tributaries were more associated to GSV reflux than perforating veins in C1-C2 women.…”

Section: Introductionmentioning

confidence: 99%

“…14,15 Most GSV reflux in C2 women was segmental, from one tributary to another. 2,9 GSV reflux was mostly in the leg, rarely in the saphenofemoral junction (SFJ). 9 Telangiectasias were associated to segmental saphenous vein reflux.…”

Section: Introductionmentioning

confidence: 99%

“…8 Segmental reflux, if not treated, evolved to multi-segmental saphenous reflux. 2 Non-saphenous vein reflux has received its due attention. 16 Reflux in gluteal, lateral or anterior thigh, or pubic veins raise suspicion of pelvic varicosities, particularly in the presence of symptoms of pelvic congestion syndrome.…”

Section: Introductionmentioning

confidence: 99%

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

Engelhorn

Salles-Cunha³

et al. 2014

Veins and Lymphatics

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Varicose veins are a common disorder. Extensive ultrasound (US) mapping of lower extremity chronic venous valvular insufficiency includes the great saphenous vein (GSV), anterior accessory saphenous vein (AASV) and thigh posterior tributary to GSV such as the posterior accessory saphenous vein (PTSV, PASV).The aim of this study was to determine associations between GSV-AASV-PTSV (including PASV) reflux in a specific sample population of Southern Brazilian women, mostly euro descendents, with telangiectasias, reticular veins, varices and/or intermittent edema.US performed in 1016 extremities of 513 women, 43±18 (18-81) years old were included. Women with previous venous thrombosis, surgery, suspicion of pelvic congestion syndrome, and men were excluded. Small saphenous vein and related thigh veins were excluded from analysis. GSV-AASV-PTSV reflux patterns were analyzed; prevalence was compared using χ 2 statistics. Reflux prevalence in AASV and/or thigh PTSV was 5.8% (59/1016): 1.3% at PTSV (n=13) and 4.5% at AASV (n=46), significantly lower than GSV reflux: 72% (n=727) (P<0

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“…[1][2][3][4][5][6][7][8][9][10][11][12] CVVI is a common subset of chronic venous insufficiency (CVI). Modern tendency is to become more specific on phlebologic investigation.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Engelhorn

Salles-Cunha³

et al. 2014

Veins and Lymphatics

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Truncal varicose vein diameter and patient-reported outcome measures

Lane

Varatharajan

Fiorentino

et al. 2017

British Journal of Surgery

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Background Varicose veins and chronic venous disease are common, and some funding bodies ration treatment based on a minimum diameter of the incompetent truncal vein. This study assessed the effect of maximum vein diameter on clinical status and patient symptoms. Methods A prospective observational cohort study of patients presenting with symptomatic varicose veins to a tertiary referral public hospital vascular clinic between January 2011 and July 2012. Patients underwent standardized assessment with venous duplex ultrasonography, and completed questionnaires assessing quality of life (QoL) and symptoms (Aberdeen Varicose Vein Questionnaire, EuroQol Five Domain QoL assessment and EuroQol visual analogue scale). Clinical scores (Venous Clinical Severity Score (VCSS) and Clinical Etiologic Anatomic Pathophysiologic (CEAP) class) were also calculated. Regression analysis was used to investigate the relationship between QoL, symptoms and vein diameter. Results Some 330 patients were assessed before surgery. The median maximum vein diameter was 7·0 (i.q.r. 5·3–9·2) mm overall, 7·9 (6·0–9·8) mm for great saphenous vein and 6·0 (5·2–8·9) mm for small saphenous vein. In linear regression analysis, vein diameter was shown to have a significant association with VCSS (P = 0·041). For every 1‐mm increase in vein diameter, there was a 2·75‐fold increase in risk of being in CEAP class C4 compared with C2. No other QoL or symptom measures were related to vein diameter. Conclusion Incompetent truncal vein diameter was associated with increasing VCSS, but not a variety of other varicose vein disease‐specific and generic patient‐reported outcome measures.

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Therapeutic compression materials and wound dressings for chronic venous insufficiency: A comprehensive review

Liu

Lao

2019

J Biomed Mater Res

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Chronic venous insufficiency (CVI) is a common disorder worldwide. Related pathophysiological mechanisms reportedly involve venous pooling and reduced venous return, leading to heaviness, aching, itchiness, tiredness, varicosities, pigmentation, and even lower limb ulceration. Approaches adopted to manage CVI at various stages of clinical‐etiology‐anatomy‐pathophysiology include compression therapy, pharmacological treatment, ultrasound treatment, surgery, electrical or wireless microcurrent stimulation, and pulsed electromagnetic treatment. Among these, polymer‐based therapeutic compression materials and wound dressings play increasingly key roles in treating all stages of CVI because of their unique physical, mechanical, chemical, and biological functions. However, the characteristics, working mechanisms, and effectiveness of these CVI treatment materials are not comprehensively understood. The present systematic review examines the structures, properties, types, and applications of various polymer‐based compression materials and wound dressings used in prophylaxis and treatment of CVI. Existing problems, limitations, and future trends of CVI treatment materials are also discussed. This review could contribute to the design and application of new functional polymer materials and dressings to enhance the efficiency of CVI treatments, thereby facilitating patients' self‐care ability and long‐term health improvement.

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Progression of reflux patterns in saphenous veins of women with chronic venous valvular insufficiency

Abstract: We documented early findings and venous reflux progression in a specific population of women with varicose veins, reticular veins and telangiectasias. GSV segmental reflux was most prevalent initially, progressing to GSV multisegmental reflux.

Cited by 25 publications

References 18 publications

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

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

Truncal varicose vein diameter and patient-reported outcome measures

Therapeutic compression materials and wound dressings for chronic venous insufficiency: A comprehensive review

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