Telangiectasias: Incidence, Classification, and Relationship with the Superficial and Deep Venous Systems: a Double-Blind Study

Laser-Doppler Examination Shows High Flow in Some Common Telangiectasias of the Lower Limb

“…In other cases, there is not such a high difference. [3][4][5][6][7][8][9] It is necessary to note that studies searching for perforator vein insufficiency could not find them in every case. These data are not enough to calculate a proportion of cases of shunt and perforator vein insufficiency origin.…”

Pathophysiology of Telangiectasias

“…Finally, direct radiographic imaging and duplex examination have shown connections between telangiectasia and both the deep as well as superficial venous systems. 3,100 Importantly, 2 of 15 telangiectasias examined were found to connect directly to the deep venous system without any obvious cutaneous sign. Mariani et al 101 evaluated 200 telangiectatic areas with a 10-MHz probe duplex ultrasound and transillumination.…”

“…Raymond-Martimbeau and Dupuis 3 have proposed another classification based on the relationship between telangiectasias and superficial as well as deep veins. Using duplex ultrasound, they evaluated 525 consecutive patients with 884 zones of telangiectasia without underlying saphenous or perforator vein incompetence.…”

Commentary on “Sclerotherapy in Tumescent Anesthesia of Reticular Veins and Telangiectasias”

“…The case study that Ramelet chose seems to represent a straightforward condition. Excellent results should be obtainable by applying treatment in a logical manner by injecting the afferent or efferent blue–green veins connecting the telangiectasias, followed by injection of the convergence point or apical point of clusters of telangiectasias, but the author labeled these patterns as refractory veins.…”