Detecting Venous Reflux Using a Sixty-Degree Reverse Trendelenburg (RT-60) Position in Symptomatic Patients With Chronic Venous Disease.
Identifieur interne : 000704 ( PubMed/Curation ); précédent : 000703; suivant : 000705Detecting Venous Reflux Using a Sixty-Degree Reverse Trendelenburg (RT-60) Position in Symptomatic Patients With Chronic Venous Disease.
Auteurs : Nicolas W. Shammas [États-Unis] ; Mary F. Knowles ; W John Shammas ; William Hauber ; Gail A. Shammas ; Melissa J. Green ; Julie DokasSource :
- The Journal of invasive cardiology [ 1557-2501 ] ; 2016.
Abstract
The optimal technique to detect venous reflux requires a patient to be standing with weight on one leg while the other leg is scanned for superficial venous reflux (standing position [SP] technique). This represents a significant hardship for a subset of patients who are unable to stand and adequately maintain their balance. This study examines the predictability of identifying venous reflux using a reverse Trendelenburg 60° (RT-60) when compared with the SP in the great saphenous vein (GSV) and small saphenous vein (SSV).
PubMed: 27430666
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Detecting Venous Reflux Using a Sixty-Degree Reverse Trendelenburg (RT-60) Position in Symptomatic Patients With Chronic Venous Disease.</title><author><name sortKey="Shammas, Nicolas W" sort="Shammas, Nicolas W" uniqKey="Shammas N" first="Nicolas W" last="Shammas">Nicolas W. Shammas</name><affiliation wicri:level="1"><nlm:affiliation>Research Director, Midwest Cardiovascular Research Foundation, 1622 E. Lombard Street, Davenport, IA 52803 USA. shammas@mchsi.com.</nlm:affiliation><country wicri:rule="url">Oman</country></affiliation></author><author><name sortKey="Knowles, Mary F" sort="Knowles, Mary F" uniqKey="Knowles M" first="Mary F" last="Knowles">Mary F. Knowles</name></author><author><name sortKey="Shammas, W John" sort="Shammas, W John" uniqKey="Shammas W" first="W John" last="Shammas">W John Shammas</name></author><author><name sortKey="Hauber, William" sort="Hauber, William" uniqKey="Hauber W" first="William" last="Hauber">William Hauber</name></author><author><name sortKey="Shammas, Gail A" sort="Shammas, Gail A" uniqKey="Shammas G" first="Gail A" last="Shammas">Gail A. Shammas</name></author><author><name sortKey="Green, Melissa J" sort="Green, Melissa J" uniqKey="Green M" first="Melissa J" last="Green">Melissa J. Green</name></author><author><name sortKey="Dokas, Julie" sort="Dokas, Julie" uniqKey="Dokas J" first="Julie" last="Dokas">Julie Dokas</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27430666</idno><idno type="pmid">27430666</idno><idno type="wicri:Area/PubMed/Corpus">000704</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000704</idno><idno type="wicri:Area/PubMed/Curation">000704</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000704</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Detecting Venous Reflux Using a Sixty-Degree Reverse Trendelenburg (RT-60) Position in Symptomatic Patients With Chronic Venous Disease.</title><author><name sortKey="Shammas, Nicolas W" sort="Shammas, Nicolas W" uniqKey="Shammas N" first="Nicolas W" last="Shammas">Nicolas W. Shammas</name><affiliation wicri:level="2"><nlm:affiliation>Research Director, Midwest Cardiovascular Research Foundation, 1622 E. Lombard Street, Davenport, IA 52803 USA. shammas@mchsi.com.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Research Director, Midwest Cardiovascular Research Foundation, 1622 E. Lombard Street, Davenport</wicri:cityArea></affiliation></author><author><name sortKey="Knowles, Mary F" sort="Knowles, Mary F" uniqKey="Knowles M" first="Mary F" last="Knowles">Mary F. Knowles</name></author><author><name sortKey="Shammas, W John" sort="Shammas, W John" uniqKey="Shammas W" first="W John" last="Shammas">W John Shammas</name></author><author><name sortKey="Hauber, William" sort="Hauber, William" uniqKey="Hauber W" first="William" last="Hauber">William Hauber</name></author><author><name sortKey="Shammas, Gail A" sort="Shammas, Gail A" uniqKey="Shammas G" first="Gail A" last="Shammas">Gail A. Shammas</name></author><author><name sortKey="Green, Melissa J" sort="Green, Melissa J" uniqKey="Green M" first="Melissa J" last="Green">Melissa J. Green</name></author><author><name sortKey="Dokas, Julie" sort="Dokas, Julie" uniqKey="Dokas J" first="Julie" last="Dokas">Julie Dokas</name></author></analytic><series><title level="j">The Journal of invasive cardiology</title><idno type="eISSN">1557-2501</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The optimal technique to detect venous reflux requires a patient to be standing with weight on one leg while the other leg is scanned for superficial venous reflux (standing position [SP] technique). This represents a significant hardship for a subset of patients who are unable to stand and adequately maintain their balance. This study examines the predictability of identifying venous reflux using a reverse Trendelenburg 60° (RT-60) when compared with the SP in the great saphenous vein (GSV) and small saphenous vein (SSV).</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27430666</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>04</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-2501</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>9</Issue><PubDate><Year>2016</Year><Month>Sep</Month></PubDate></JournalIssue><Title>The Journal of invasive cardiology</Title><ISOAbbreviation>J Invasive Cardiol</ISOAbbreviation></Journal><ArticleTitle>Detecting Venous Reflux Using a Sixty-Degree Reverse Trendelenburg (RT-60) Position in Symptomatic Patients With Chronic Venous Disease.</ArticleTitle><Pagination><MedlinePgn>370-2</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">JIC2016715-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The optimal technique to detect venous reflux requires a patient to be standing with weight on one leg while the other leg is scanned for superficial venous reflux (standing position [SP] technique). This represents a significant hardship for a subset of patients who are unable to stand and adequately maintain their balance. This study examines the predictability of identifying venous reflux using a reverse Trendelenburg 60° (RT-60) when compared with the SP in the great saphenous vein (GSV) and small saphenous vein (SSV).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">After obtaining informed consent, consecutive symptomatic patients were studied for venous reflux in the GSV and SSV using both SP and RT-60 during the same visit to the diagnostic laboratory. Reflux was analyzed in both SSV (proximal, mid, and distal segments) and GSV (proximal, mid-thigh, distal-thigh, and below-the-knee segments). Reflux was defined as duration of retrograde venous flow >0.5 seconds following rapid cuff deflation. Patients with heart failure, prior limb surgery, history of deep vein thrombosis, cellulitis, known severe pulmonary hypertension, end-stage renal disease, lymphedema, or trauma were excluded. We calculated the percentage of segments that had reflux on RT-60 out of those with reflux on SP, and the percentage of no reflux on RT-60 out of those with no reflux on SP.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 33 patients (56 limbs, 252 segments) were included in this analysis. Mean age was 65 ± 12.4 years and 54.5% were male. All patients were symptomatic (mean clinical, etiology, anatomy, pathophysiology [CEAP] class, 3.5). Deep venous reflux was present in 3/33 patients (9.1%). Of the patients enrolled, 93.9% noted worsening swelling of their lower extremities with standing up and 53.6% of limbs were CEAP class IV or higher. All limbs with no reflux on RT-60 had no reflux using the SP and 48/49 limbs (98%) with reflux on SP also had reflux on the RT-60.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">RT-60 appears to capture 98% and 100% of positive and negative reflux scans on SP, respectively, when GSV and SSV were evaluated. These findings, however, may not apply to the remainder of the venous system of the lower extremity, where SP may continue to be the standard for venous reflux evaluation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shammas</LastName><ForeName>Nicolas W</ForeName><Initials>NW</Initials><AffiliationInfo><Affiliation>Research Director, Midwest Cardiovascular Research Foundation, 1622 E. Lombard Street, Davenport, IA 52803 USA. shammas@mchsi.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Knowles</LastName><ForeName>Mary F</ForeName><Initials>MF</Initials></Author><Author ValidYN="Y"><LastName>Shammas</LastName><ForeName>W John</ForeName><Initials>WJ</Initials></Author><Author ValidYN="Y"><LastName>Hauber</LastName><ForeName>William</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Shammas</LastName><ForeName>Gail A</ForeName><Initials>GA</Initials></Author><Author ValidYN="Y"><LastName>Green</LastName><ForeName>Melissa J</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>Dokas</LastName><ForeName>Julie</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Invasive Cardiol</MedlineTA><NlmUniqueID>8917477</NlmUniqueID><ISSNLinking>1042-3931</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27430666</ArticleId><ArticleId IdType="pii">JIC2016715-2</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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