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Recurrent varicose veins. Part 1: Evaluation utilizing duplex venous imaging.

P K Thibault1, W A Lewis

  • 1Newcastle Laser Center, Australia.

The Journal of Dermatologic Surgery and Oncology
|July 1, 1992
PubMed
Summary

Recurrent varicose veins require standardized investigation. Duplex ultrasound is a precise, non-invasive method that identifies reflux sources, with incompetent perforating veins being the most common cause in post-surgical cases.

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Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Recurrent varicose veins present a clinical challenge, lacking a standardized diagnostic approach.
  • Identifying the precise source of venous reflux is crucial for effective management.

Purpose of the Study:

  • To describe a routine duplex ultrasound protocol for investigating recurrent varicose veins.
  • To establish duplex imaging as a standard, non-invasive diagnostic tool.

Main Methods:

  • Development of a duplex venous imaging protocol targeting known sources of reflux.
  • Application of the protocol to patients with recurrent postsurgical varicose veins.
  • Anatomic and hemodynamic assessment using non-invasive ultrasound.

Main Results:

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  • Incompetent perforating veins identified as the most frequent site of deep to superficial venous reflux.
  • Other significant reflux sites include common femoral vein communications, saphenopopliteal junction, and pelvic veins.
  • Duplex imaging demonstrated high precision in diagnosing reflux sources.

    • Conclusions:

    • Duplex ultrasound imaging is a safe and effective non-invasive method for evaluating recurrent varicose veins.
    • The described protocol aids in identifying common and significant reflux pathways.
    • Standardization of duplex imaging can improve the management of recurrent venous disease.