Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 400-406 , August 2008

The importance of deep venous reflux velocity as a determinant of outcome in patients with combined superficial and deep venous reflux treated with endovenous saphenous ablation

Presented at the Thirty-Second Annual Meeting of the Southern Association for Vascular Surgery, Naples, Fla, Jan 16-19, 2008.

Received 29 January 2008 ,Accepted 17 March 2008.

References 

  1. Marston WA, Carlin RE, Passman MA, et al. Healing rates and cost efficacy of outpatient compression treatment for leg ulcers associated with venous insufficiency. J Vasc Surg. 1999;30:491–498
  2. Labropoulos N, Tassiopoulos AK, Kang SS, Mansour MA, Littooy FN, Baker WH. Prevalence of deep venous reflux in patients with primary superfricial vein incompetence. J Vasc Surg. 2000;32:663–668
  3. Walsh JC, Bergan JJ, Beeman S, Comer TP. Femoral venous reflux abolished by greater saphenous vein stripping. Ann Vasc Surg. 1994;8:566–570
  4. Sales CM, Bilof ML, Petrillo KA, Luka NL. Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg. 1996;10:186–189
  5. Scriven JM, Hartshorne T, Thrush AJ, Bell PR, Naylor AR, London NJ. Role of saphenous vein surgery in the treatment of venous ulceration. Br J Surg. 1998;85:781–784
  6. Min RJ, Khilnani N, Zimmet SE. Endovenous laser treatmentof saphenous vein reflux: Long-term results. J Vasc Interv Radiol. 2003;14:991–996
  7. Nicolini P Closure group. Treatment of primary varicose veins by endovenous obliteration with the VNUS closure system: results of a prospective multicentre study. Eur J Vasc Endovasc Surg. 2005;29:433–439
  8. Marston WA, Owens LV, Davies S, Mendes RR, Farber MA, Keagy BA. Endovenous saphenous ablation corrects the hemodynamic abnormality in patients with CEAP clinical class 3-6 CVI due to superficial reflux. Vasc Endovasc Surg. 2006;40:125–130
  9. Hanrahan LM, Araki CT, Fisher JB, Rodriguez AA, Walker TG, Woodson J, et al. Evaluation of the perforating veins of the lower extremity using high resolution duplex imaging. J Cardiovasc Surg. 1991;32:87–97
  10. van Bemmelen PS, Bedford G, Beach K, Strandness DE. Quantitative segmental evaluation of venous valvular reflux with duplex ultrasound scanning. J Vasc Surg. 1989;10:425–431
  11. Christopolous DG, Nicolaides AN, Szendro G. Venous reflux: quantification and correlation with the clinical severity of chronic venous disease. Br J Surg. 1988;75:352–356
  12. Rutherford RB, Padberg FT, Comerota AJ, Kistner RL, Meissner MH, Moneta GL. Venous outcomes assessment. In:  Gloviczki P,  Yao JST editor. Handbook of venous disorders, guidelines of the American Venous Forum. 2nd ed.. London: Arnold; 2001;p. 498–500
  13. Min RJ, Zimmet SE, Isaacs MN, Forrestal MD. Endovenous laser treatment of the incompetent greater saphenous vein. J Vasc Interv Radiol. 2001;12:1167–1171
  14. Matthews DE, Farewell VT. Analyzing normally distributed data. In:  Matthews DE,  Farewell VT editor. Using and understanding medical statistics. 2nd ed.. Basel: Karger; 1988;p. 103–119
  15. Massuda EM, Kistner RL. Long-term results of venous valve reconstruction: a four- to twenty-one year follow-up. J Vasc Surg. 1994;19:391–403
  16. Padberg FT, Pappas PJ, Araki CT, Thompson PN, Hobson RW2nd. Hemodynamic and clinical improvement after superficial vein ablation in primary combined venous insufficiency with ulceration. J Vasc Surg. 1996;24:711–718
  17. Adam DJ, Bello M, Hartshorne T, London NJ. Role of superficial venous surgery in patients with combined superficial and segmental deep venous reflux. Eur J Vasc Endovasc Surg. 2003;25:469–472
  18. Puggioni A, Lurie F, Kistner RL, Eklof B. How often is deep venous reflux eliminated after saphenous vein ablation. J Vasc Surg. 2003;38:517–521
  19. Delis KT, Husmann M, Kalodiki E, Wolfe JH, Nicolaides AN. In situ hemodynamics of perforating veins in chronic venous insufficiency. J Vasc Surg. 2001;33:773–782
  20. Owens LV, Farber MA, Young ML, Carlin RE, Criado-Pallares E, Passman MA, et al. The value of air plethysmography in predicting clinical outcome after surgical treatment of chronic venous insufficiency. J Vasc Surg. 2000;32:961–968
  21. Ricci MA, Emmerich J, Callas PW, Rosendaal FR, Stanley AC, Naud S, et al. Evaluating chronic venous disease with a new venous severity scoring system. J Vasc Surg. 2003;38:909–915
  22. Vasquez MA, Wang J, Mahathanaruk M, Buczkowski G, Sprehe E, Dosluoglu HH. The utility of venous clinical severity score in 682 limbs treated by radiofrequency saphenous vein ablation. J Vasc Surg. 2007;45:1008–1015
  23. Meissner MH, Natiello C, Nicholls SC. Performance characteristics of the venous clinical severity score. J Vasc Surg. 2002;36:889–895

 Competition of interest: none.

PII: S0741-5214(08)00475-8

doi: 10.1016/j.jvs.2008.03.039

Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 400-406 , August 2008

Article Tools

* Image Usage & Resolution