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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

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Phlebosclerosis in lower extremities veins.

N Labropoulos¹, L Tzogias, R D Malgor

¹Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, NY, USA.

|December 29, 2012

Summary

Phlebosclerosis, a condition affecting leg veins, was found to be uncommon in outpatients. Advanced age and chronic venous disease increase its risk, particularly in the small saphenous vein (SSV).

Keywords:

phlebosclerosis; varicose veins; chronic venous disease venosclerosis venous fibrosis venous hypertrophy

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Published on: April 13, 2018

Area of Science:

Vascular Medicine
Diagnostic Imaging
Vascular Biology

Background:

Phlebosclerosis, characterized by venous wall changes, is not well-understood in outpatient populations.
Understanding its prevalence and risk factors is crucial for vascular health assessment.

Purpose of the Study:

To determine the prevalence, distribution, and extent of phlebosclerosis in lower extremities of outpatients referred to a vascular clinic.
To identify factors associated with phlebosclerosis development.

Main Methods:

Prospective cohort study of 740 outpatients (1000 limbs assessed) using duplex ultrasonography.
Phlebosclerosis diagnosed by increased venous wall echogenicity, thickness, or calcification.
Exclusion of patients with lower extremity trauma or surgery; comparison with two control groups.

Main Results:

Phlebosclerosis was diagnosed in 2.1% of limbs, significantly higher than in control groups (P < 0.019).
Patients with phlebosclerosis were older (mean 57 years) than the overall cohort (mean 49 years; P < 0.0001).
Phlebosclerosis showed a higher prevalence in the small saphenous vein (SSV) and affected all superficial veins.

Conclusions:

Phlebosclerosis prevalence in lower extremities is low, with no significant sex differences.
Age and chronic venous disease are key factors in phlebosclerosis development.
Phlebosclerosis can occur independently of thrombosis or reflux, with a notable presence in the SSV.