Cosmetic Leg Veins: Evaluation Using Duplex Venous Imaging
- 1 July 1990
- journal article
- Published by Wiley in The Journal of Dermatologic Surgery and Oncology
- Vol. 16 (7), 612-618
- https://doi.org/10.1111/j.1524-4725.1990.tb00089.x
Abstract
The records of 305 consecutive patients who had presented with cosmetic symptoms related to varicose and/or spider veins over a 12-month period were studied. Following clinical assessment, 250 (82%) patients were referred for duplex venous imaging. A total of 500 lower limbs were evaluated; 236 (47%) were documented to have incompetence in the superficial venous system (long or short saphenous veins). Only 6 (1%) limbs had deep venous incompetence and 45 (9%) limbs were found to have perforator incompetence. Short saphenous vein incompetence was found in 59 (12%) limbs. In the long saphenous vein there was a consistent pattern of an increasing incidence of incompetence from the saphenofemoral junction down to the below-knee segment. The duplex imaging findings were applied to determine the optimal treatment, ie, whether surgery, sclerotherapy, or a combination of both would provide the best short- and long-term results. The possible etiology and pathophysiology of spider and varicose veins are discussed in relation to these results.Keywords
This publication has 14 references indexed in Scilit:
- Quantitative segmental evaluation of venous valvular reflux with duplex ultrasound scanningJournal of Vascular Surgery, 1989
- A Comparison of Photoplethysmography, Doppler Ultrasound and Duplex Scanning in the Assessment of Venous InsufficiencyPhlebology: The Journal of Venous Disease, 1989
- Morphology and Localization of Sunburst Varicosities: An Electron Microscopic and Morphometric StudyThe Journal of Dermatologic Surgery and Oncology, 1989
- Anatomy and Pathophysiology of Varicose VeinsThe Journal of Dermatologic Surgery and Oncology, 1989
- Chronic venous insufficiency: A challenge for the vascular laboratoryWorld Journal of Surgery, 1986
- The role of noninvasive testing in the evaluation of chronic venous problemsWorld Journal of Surgery, 1986
- Noninvasive testing for the evaluation of chronic venous diseaseWorld Journal of Surgery, 1986
- Duplex scanning in the assessment of deep venous incompetenceJournal of Vascular Surgery, 1986
- Zur Ultrastruktur kollagener Fibrillen in normalen und veränderten BlutgefässenCells Tissues Organs, 1982
- PATHOLOGIC PHYSIOLOGY OF STASIS SYNDROMEArchives of Dermatology, 1954