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Updated: May 4, 2026

Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge
Published on: January 20, 2023
[Color-coded Doppler sonography of chronic venous insufficiency]
C von Itter1, T Harder, E Rabe
1Radiologische Klinik, Universität Bonn.
Colour-coded Doppler sonography (CCDS) accurately diagnoses chronic venous insufficiency, including varicose veins of the great saphenous vein (VSM) and small saphenous vein (VSP). However, diagnosing incomplete varicoses requires significant expertise.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Medical Ultrasound
Background:
- Chronic venous insufficiency (CVI) affects numerous patients, impacting lower extremity health.
- Accurate diagnosis of venous abnormalities is crucial for effective treatment planning.
Purpose of the Study:
- To evaluate the diagnostic accuracy of colour-coded Doppler sonography (CCDS) in patients with CVI.
- To assess CCDS's capability in identifying various forms of venous varicosity, including stem and perforator involvement.
Main Methods:
- CCDS was performed on 40 lower extremities from 20 patients diagnosed with CVI.
- The study focused on the visualization of anatomy and hemodynamics of the great saphenous vein (VSM) and small saphenous vein (VSP).
Main Results:
- CCDS demonstrated high accuracy in diagnosing complete varicosis of the VSM and VSP.
- The method showed high accuracy in identifying perforator vein insufficiency.
- Diagnosis of incomplete stem varicoses and lateral branch varicoses was possible but time-consuming and experience-dependent.
Conclusions:
- CCDS is a reliable tool for diagnosing CVI, particularly complete VSM and VSP varicosis.
- While effective for perforator vein assessment, diagnosing incomplete varicoses with CCDS demands considerable investigator experience.
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