A comparison of colour duplex ultrasound with venography and varicography in the assessment of varicose veins
Ninety-three legs in 68 consecutive patients presenting for preoperative assessment of varicose veins were examined by a combination of ascending venography with varicography and also by colour duplex ultrasound. Ninety-one to ninety-two per cent of incompetent sapheno-femoral and sapheno-popliteal...
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| Veröffentlicht in: | Clinical radiology 1995, Vol.50 (1), p.20-25 |
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| creator | Phillips, G.W.L. Paige, J. Molan, M.P. |
| description | Ninety-three legs in 68 consecutive patients presenting for preoperative assessment of varicose veins were examined by a combination of ascending venography with varicography and also by colour duplex ultrasound. Ninety-one to ninety-two per cent of incompetent sapheno-femoral and sapheno-popliteal communications were demonstrated by ascending venography/varicography and 92–95% by ultrasound. Ascending venography/varicography demonstrated 83–90% of incompetent perforators whilst ultrasound demonstrated only 40–63%.
We conclude that ultrasound is an accurate method of assessing primary and recurrent sapheno-femoral and sapheno-popliteal incompetence but is of limited value in assessing perforator incompetence. This is a significant limitation of ultrasound in view of the importance of perforator disease, and it is likely that this technique can only be used in combination with other venographic methods. |
| doi_str_mv | 10.1016/S0009-9260(05)82960-5 |
| format | Article |
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We conclude that ultrasound is an accurate method of assessing primary and recurrent sapheno-femoral and sapheno-popliteal incompetence but is of limited value in assessing perforator incompetence. This is a significant limitation of ultrasound in view of the importance of perforator disease, and it is likely that this technique can only be used in combination with other venographic methods.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1016/S0009-9260(05)82960-5</identifier><identifier>PMID: 7834969</identifier><identifier>CODEN: CLRAAG</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Femoral Vein - diagnostic imaging ; Humans ; Leg - blood supply ; Male ; Medical sciences ; Middle Aged ; Phlebography - methods ; Recurrence ; Saphenous Vein - diagnostic imaging ; Ultrasonography, Doppler, Color ; Ultrasonography, Doppler, Duplex ; Varicose Veins - diagnostic imaging</subject><ispartof>Clinical radiology, 1995, Vol.50 (1), p.20-25</ispartof><rights>1995</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-66ec577e8718a059d9a051afe09c50a0f971630064dfa58aa324568bff4ef5b63</citedby><cites>FETCH-LOGICAL-c389t-66ec577e8718a059d9a051afe09c50a0f971630064dfa58aa324568bff4ef5b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0009-9260(05)82960-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3408415$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7834969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phillips, G.W.L.</creatorcontrib><creatorcontrib>Paige, J.</creatorcontrib><creatorcontrib>Molan, M.P.</creatorcontrib><title>A comparison of colour duplex ultrasound with venography and varicography in the assessment of varicose veins</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>Ninety-three legs in 68 consecutive patients presenting for preoperative assessment of varicose veins were examined by a combination of ascending venography with varicography and also by colour duplex ultrasound. Ninety-one to ninety-two per cent of incompetent sapheno-femoral and sapheno-popliteal communications were demonstrated by ascending venography/varicography and 92–95% by ultrasound. Ascending venography/varicography demonstrated 83–90% of incompetent perforators whilst ultrasound demonstrated only 40–63%.
We conclude that ultrasound is an accurate method of assessing primary and recurrent sapheno-femoral and sapheno-popliteal incompetence but is of limited value in assessing perforator incompetence. This is a significant limitation of ultrasound in view of the importance of perforator disease, and it is likely that this technique can only be used in combination with other venographic methods.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Female</subject><subject>Femoral Vein - diagnostic imaging</subject><subject>Humans</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Phlebography - methods</subject><subject>Recurrence</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Varicose Veins - diagnostic imaging</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFu3CAQhlHVKt2meYRIHKqqPTgB22BziqIoaStF6iGplBti8dClssFh7G3y9sHZ7V57Ac3M9w_oI-SUszPOuDy_Y4ypQpWSfWHia1sqyQrxhqx4JUVRlurhLVkdkPfkA-KfpazL-ogcNW1VK6lWZLikNg6jSR5joNHlqo9zot089vBE535KBuMcOvrXTxu6hRB_JzNunqnJvW3O2X8NH-i0AWoQAXGAMC3rdgRCTvqAH8k7Z3qEk_19TH7dXN9ffS9uf377cXV5W9iqVVMhJVjRNNA2vDVMqE7lkxsHTFnBDHOq4bJiTNadM6I1piprIdu1czU4sZbVMfm82zum-DgDTnrwaKHvTYA4o24aXpVlozIodqBNETGB02Pyg0nPmjO9aNavmvXiUDOhXzVrkXOn-wfm9QDdIbX3muef9nOD1vQumWA9HrCqZm3NlzUXOwyyjK2HpNF6CBY6n8BOuov-Px95AV_Ym2I</recordid><startdate>1995</startdate><enddate>1995</enddate><creator>Phillips, G.W.L.</creator><creator>Paige, J.</creator><creator>Molan, M.P.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1995</creationdate><title>A comparison of colour duplex ultrasound with venography and varicography in the assessment of varicose veins</title><author>Phillips, G.W.L. ; Paige, J. ; Molan, M.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-66ec577e8718a059d9a051afe09c50a0f971630064dfa58aa324568bff4ef5b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Female</topic><topic>Femoral Vein - diagnostic imaging</topic><topic>Humans</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Phlebography - methods</topic><topic>Recurrence</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Varicose Veins - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phillips, G.W.L.</creatorcontrib><creatorcontrib>Paige, J.</creatorcontrib><creatorcontrib>Molan, M.P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phillips, G.W.L.</au><au>Paige, J.</au><au>Molan, M.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of colour duplex ultrasound with venography and varicography in the assessment of varicose veins</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>1995</date><risdate>1995</risdate><volume>50</volume><issue>1</issue><spage>20</spage><epage>25</epage><pages>20-25</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><coden>CLRAAG</coden><abstract>Ninety-three legs in 68 consecutive patients presenting for preoperative assessment of varicose veins were examined by a combination of ascending venography with varicography and also by colour duplex ultrasound. Ninety-one to ninety-two per cent of incompetent sapheno-femoral and sapheno-popliteal communications were demonstrated by ascending venography/varicography and 92–95% by ultrasound. Ascending venography/varicography demonstrated 83–90% of incompetent perforators whilst ultrasound demonstrated only 40–63%.
We conclude that ultrasound is an accurate method of assessing primary and recurrent sapheno-femoral and sapheno-popliteal incompetence but is of limited value in assessing perforator incompetence. This is a significant limitation of ultrasound in view of the importance of perforator disease, and it is likely that this technique can only be used in combination with other venographic methods.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>7834969</pmid><doi>10.1016/S0009-9260(05)82960-5</doi><tpages>6</tpages></addata></record> |
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| ispartof | Clinical radiology, 1995, Vol.50 (1), p.20-25 |
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| language | eng |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Femoral Vein - diagnostic imaging Humans Leg - blood supply Male Medical sciences Middle Aged Phlebography - methods Recurrence Saphenous Vein - diagnostic imaging Ultrasonography, Doppler, Color Ultrasonography, Doppler, Duplex Varicose Veins - diagnostic imaging |
| title | A comparison of colour duplex ultrasound with venography and varicography in the assessment of varicose veins |
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