Comparative study of different venous reflux duplex quantitation parameters.
Identifieur interne : 004B97 ( PubMed/Curation ); précédent : 004B96; suivant : 004B98Comparative study of different venous reflux duplex quantitation parameters.
Auteurs : L I Valentín ; W H ValentínSource :
- Angiology [ 0003-3197 ] ; 1999.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Insuffisance veineuse (imagerie diagnostique), Insuffisance veineuse (étiologie), Jambe (), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Mâle, Sujet âgé, Ulcère variqueux (imagerie diagnostique), Ulcère variqueux (étiologie), Valeurs de référence, Varices (imagerie diagnostique), Varices (étiologie), Veines (imagerie diagnostique), Vitesse du flux sanguin (physiologie), Échographie-doppler duplex.
- MESH :
- imagerie diagnostique : Insuffisance veineuse, Lymphoedème, Ulcère variqueux, Varices, Veines.
- physiologie : Vitesse du flux sanguin.
- étiologie : Insuffisance veineuse, Lymphoedème, Ulcère variqueux, Varices.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Jambe, Mâle, Sujet âgé, Valeurs de référence, Échographie-doppler duplex.
English descriptors
- KwdEn :
- Adult, Aged, Blood Flow Velocity (physiology), Female, Humans, Leg (blood supply), Lymphedema (diagnostic imaging), Lymphedema (etiology), Male, Middle Aged, Reference Values, Ultrasonography, Doppler, Duplex, Varicose Ulcer (diagnostic imaging), Varicose Ulcer (etiology), Varicose Veins (diagnostic imaging), Varicose Veins (etiology), Veins (diagnostic imaging), Venous Insufficiency (diagnostic imaging), Venous Insufficiency (etiology).
- MESH :
- blood supply : Leg.
- diagnostic imaging : Lymphedema, Varicose Ulcer, Varicose Veins, Veins, Venous Insufficiency.
- etiology : Lymphedema, Varicose Ulcer, Varicose Veins, Venous Insufficiency.
- physiology : Blood Flow Velocity.
- Adult, Aged, Female, Humans, Male, Middle Aged, Reference Values, Ultrasonography, Doppler, Duplex.
Abstract
The objective of this study was to compare different quantitation parameters of venous reflux by duplex scan in different venous disease manifestations. Duplex scan is a new modality to quantify venous reflux. Several studies propose different parameters. In addition, there is controversy about the importance of deep and superficial involvement in different disease manifestations. It is not clear whether there is an increased venous reflux associated with varied clinical stages. Venous conditions were classified in seven stages and their differences for several quantitation variables studied. Most quantitation variables, such as average and peak velocity, average and peak flow, and reflux volume disclosed significantly increased reflux from normal, pain only, and edema group to varicose vein, with or without edema, to lipodermatosclerosis and ulcer groups at every location in the lower extremity. Reflux time was not as consistent as other variables. Totalization of the results of every parameter for the whole extremity points to an increased reflux from pain only to edema and from lipodermatosclerosis to ulcer group. Chronic edema is not usually associated with increased venous reflux. The greater saphenous vein (superficial system) seems to be the main contributor to reflux in all stages of disease. Different quantitation methods of venous reflux are equivalent. Increased deep and superficial reflux and its totalization are associated with a more advanced disease stage. Reflux time may be the least useful variable. Chronic edema is frequently not associated with venous reflux. Greater saphenectomy may be the most useful intervention, even in the presence of deep vein reflux.
DOI: 10.1177/000331979905000905
PubMed: 10496498
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L I Valentín<affiliation><nlm:affiliation>Instituto Vascular de Puerto Rico, Bayamón.</nlm:affiliation>
<wicri:noCountry code="subField">Bayamón</wicri:noCountry>
</affiliation>
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Blood Flow Velocity (physiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Leg (blood supply)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (etiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reference Values</term>
<term>Ultrasonography, Doppler, Duplex</term>
<term>Varicose Ulcer (diagnostic imaging)</term>
<term>Varicose Ulcer (etiology)</term>
<term>Varicose Veins (diagnostic imaging)</term>
<term>Varicose Veins (etiology)</term>
<term>Veins (diagnostic imaging)</term>
<term>Venous Insufficiency (diagnostic imaging)</term>
<term>Venous Insufficiency (etiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Insuffisance veineuse (imagerie diagnostique)</term>
<term>Insuffisance veineuse (étiologie)</term>
<term>Jambe ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Ulcère variqueux (imagerie diagnostique)</term>
<term>Ulcère variqueux (étiologie)</term>
<term>Valeurs de référence</term>
<term>Varices (imagerie diagnostique)</term>
<term>Varices (étiologie)</term>
<term>Veines (imagerie diagnostique)</term>
<term>Vitesse du flux sanguin (physiologie)</term>
<term>Échographie-doppler duplex</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term>
<term>Varicose Ulcer</term>
<term>Varicose Veins</term>
<term>Veins</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Varicose Ulcer</term>
<term>Varicose Veins</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Insuffisance veineuse</term>
<term>Lymphoedème</term>
<term>Ulcère variqueux</term>
<term>Varices</term>
<term>Veines</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Vitesse du flux sanguin</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Flow Velocity</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Insuffisance veineuse</term>
<term>Lymphoedème</term>
<term>Ulcère variqueux</term>
<term>Varices</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reference Values</term>
<term>Ultrasonography, Doppler, Duplex</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Valeurs de référence</term>
<term>Échographie-doppler duplex</term>
</keywords>
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<front><div type="abstract" xml:lang="en">The objective of this study was to compare different quantitation parameters of venous reflux by duplex scan in different venous disease manifestations. Duplex scan is a new modality to quantify venous reflux. Several studies propose different parameters. In addition, there is controversy about the importance of deep and superficial involvement in different disease manifestations. It is not clear whether there is an increased venous reflux associated with varied clinical stages. Venous conditions were classified in seven stages and their differences for several quantitation variables studied. Most quantitation variables, such as average and peak velocity, average and peak flow, and reflux volume disclosed significantly increased reflux from normal, pain only, and edema group to varicose vein, with or without edema, to lipodermatosclerosis and ulcer groups at every location in the lower extremity. Reflux time was not as consistent as other variables. Totalization of the results of every parameter for the whole extremity points to an increased reflux from pain only to edema and from lipodermatosclerosis to ulcer group. Chronic edema is not usually associated with increased venous reflux. The greater saphenous vein (superficial system) seems to be the main contributor to reflux in all stages of disease. Different quantitation methods of venous reflux are equivalent. Increased deep and superficial reflux and its totalization are associated with a more advanced disease stage. Reflux time may be the least useful variable. Chronic edema is frequently not associated with venous reflux. Greater saphenectomy may be the most useful intervention, even in the presence of deep vein reflux.</div>
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<Abstract><AbstractText>The objective of this study was to compare different quantitation parameters of venous reflux by duplex scan in different venous disease manifestations. Duplex scan is a new modality to quantify venous reflux. Several studies propose different parameters. In addition, there is controversy about the importance of deep and superficial involvement in different disease manifestations. It is not clear whether there is an increased venous reflux associated with varied clinical stages. Venous conditions were classified in seven stages and their differences for several quantitation variables studied. Most quantitation variables, such as average and peak velocity, average and peak flow, and reflux volume disclosed significantly increased reflux from normal, pain only, and edema group to varicose vein, with or without edema, to lipodermatosclerosis and ulcer groups at every location in the lower extremity. Reflux time was not as consistent as other variables. Totalization of the results of every parameter for the whole extremity points to an increased reflux from pain only to edema and from lipodermatosclerosis to ulcer group. Chronic edema is not usually associated with increased venous reflux. The greater saphenous vein (superficial system) seems to be the main contributor to reflux in all stages of disease. Different quantitation methods of venous reflux are equivalent. Increased deep and superficial reflux and its totalization are associated with a more advanced disease stage. Reflux time may be the least useful variable. Chronic edema is frequently not associated with venous reflux. Greater saphenectomy may be the most useful intervention, even in the presence of deep vein reflux.</AbstractText>
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