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Related Experiment Videos

Current concepts in chronic venous ulceration.

A K Tassiopoulos1, E Golts, D S Oh

  • 1Department of Surgery, Loyola University Medical Center, Maywood, Illinois 60153-3304, USA.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|September 14, 2000
PubMed
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Superficial venous reflux is prevalent in 88% of venous ulcer patients, often isolated in 45%. Addressing superficial vein reflux offers a direct treatment pathway for these chronic wounds.

Area of Science:

  • Vascular Surgery
  • Phlebology
  • Dermatology

Background:

  • Venous ulceration is a common and debilitating condition.
  • The precise contribution of different venous systems to reflux in venous ulcers remains unclear.
  • Understanding reflux patterns is crucial for effective treatment strategies.

Purpose of the Study:

  • To evaluate the distribution and prevalence of venous reflux in patients with venous ulceration.
  • To determine the relative contribution of superficial and deep venous systems to reflux.
  • To clarify the role of isolated superficial versus deep venous reflux.

Main Methods:

  • Systematic literature review of studies published between 1980 and 1998.
  • Inclusion of studies utilizing duplex scanning for venous reflux detection.

Related Experiment Videos

  • Exclusion of studies with fewer than 30 ulcerated limbs.

    • Main Results:

    • Analysis of 13 studies encompassing 1249 ulcerated limbs.
    • Venous reflux detected in 92% of limbs.
    • Reflux confined to superficial veins in 45%, deep veins in 12%, and both systems in 43%.

    Conclusions:

    • Superficial venous reflux is present in 88% of limbs with venous ulcers (CEAP classes 5 and 6).
    • Isolated superficial venous incompetence is a frequent finding (45%).
    • Targeting superficial venous reflux offers a potentially effective therapeutic approach.