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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Office ligation of incompetent perforating veins of the foot

Itsuro J Uchino1

  • 1Center for Vein Medicine, Hagerstown, MD 21740, USA. UCHIBROWN@aol.com

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|January 31, 2006
PubMed

Insights

Incompetent perforating veins (IPVs) of the foot are real and treatable. Office ligation of IPVs improved varicose vein symptoms in all patients, with most reporting good results.

Area of Science:

  • Vascular Surgery
  • Phlebology

Background:

  • The pathophysiology of incompetent perforating veins (IPVs) in the foot is not fully understood, and their existence is debated.
  • Despite the controversy, IPVs appear to be a real clinical entity with implications for foot varicose vein treatment.

Purpose of the Study:

  • To investigate the clinical phenomenon of IPVs in the foot.
  • To enhance the treatment of varicose veins in the foot by addressing IPVs.

Main Methods:

  • A study involving nine patients (aged 36-79) with ten IPVs of the foot.
  • Diagnostic criteria included clinical examination, Doppler Ultrasound (DU) with reflux >0.5 seconds, and Duplex scanning (DS) for confirmation and localization.
  • Office ligation was performed over twenty months.

Main Results:

  • All patients experienced improvement in appearance and symptoms.
  • Eight patients reported good outcomes, and one reported moderate improvement.
  • One patient needed a second surgery; minor complications included persistent numbness in one patient and persistent edema in another.

Conclusions:

  • A diagnostic approach combining clinical examination, DU, and DS is reliable for identifying IPVs.
  • Office ligation of IPVs is an effective treatment for foot varicose veins.
  • Established diagnostic criteria enhance the clinical utility of addressing IPVs.

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