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Short Saphenous Vein Incompetence and Chronic Lower Extremity Venous Disease
Author(s) -
Kurt Aydin,
Ünlü Ugur Levent,
Ipek Ali,
Tosun Özgür,
Gümüs Mehmet,
Zan Elçin,
Dilmen Gülçin,
Tas Ismet
Publication year - 2007
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2007.26.2.163
Subject(s) - medicine , chronic venous insufficiency , reflux , vein , great saphenous vein , body mass index , lower limbs venous ultrasonography , surgery , varicose veins , vascular disease , statistical significance , clinical significance , disease
Objective We performed this prospective study on patients with signs and symptoms of chronic venous disease to emphasize short saphenous vein (SSV) insufficiency, which is not routinely evaluated with Doppler ultrasonography in every center. Methods One hundred seventy‐eight patients with signs and symptoms of chronic venous disease were included in the study. We used the CEAP (clinical, etiologic, anatomic, and pathophysiologic data) classification in evaluation of the limbs with isolated and nonisolated SSV incompetence. Patients were classified according to age, occupation, body mass index, and associated chronic illness. A χ 2 test and a t test were used in the statistical analysis. Results Reflux was observed in 190 (53%) of 356 limbs. In 11 limbs, isolated SSV reflux was observed. These 11 limbs were classified as CEAP grade 2 (3 limbs), CEAP grade 3 (3 limbs), and CEAP grade 4 (5 limbs). Short saphenous vein reflux was observed in 21 (5.9%) of 356 limbs. Mean SSV diameters were 3.89 mm (range, 1–11 mm) on the right and 4.03 mm (1.3–10 mm) on the left. Conclusions No statistical significance was found between age, sex, body mass index, occupation, and associated chronic disease and deep or superficial venous system incompetence. A statistically significant difference was found between the SSV diameter of the limbs and associated venous incompetence.