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Valsalva maneuver in phlebologic practice.

Stefano Ricci1, Leo Moro1, Girolamo C Minotti2

  • 11 Centro di Flebologia, Area di Geriatria, Università Campus Bio Medico, Roma, Italy.

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|January 14, 2017
PubMed
Summary
This summary is machine-generated.

The Valsalva maneuver, a breathing technique, is effective for diagnosing venous reflux in chronic venous disease. It helps identify saphenofemoral junction valve issues when combined with ultrasound.

Keywords:
Valsalva maneuverduplex ultrasoundpelvic vein incompetencesaphenofemoral junction incompetencevenous reflux

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Area of Science:

  • Vascular Medicine
  • Diagnostic Imaging
  • Phlebology

Background:

  • Chronic venous disease is frequently caused by venous reflux.
  • The Valsalva maneuver, historically used for Eustachian tube inflation, has diagnostic applications.
  • Duplex ultrasound is effective for visualizing venous reflux in standing patients.

Purpose of the Study:

  • To review the utility of the Valsalva maneuver in phlebologic diagnosis.
  • To evaluate the Valsalva maneuver's role in assessing venous reflux, particularly at the saphenofemoral junction.

Main Methods:

  • Review of literature on the Valsalva maneuver in phlebology.
  • Application of the Valsalva maneuver during duplex ultrasound to elicit venous reflux.
  • Comparison of Valsalva maneuver with compression-release maneuvers for diagnosing saphenofemoral junction hemodynamics.

Main Results:

  • The Valsalva maneuver increases downstream pressure, aiding reflux detection.
  • A negative Valsalva maneuver indicates saphenofemoral junction valvular competence.
  • A positive Valsalva maneuver suggests proximal valve incompetence or absence.

Conclusions:

  • The Valsalva maneuver is a valuable tool for phlebologic diagnosis of venous reflux.
  • Combining Valsalva and compression-release maneuvers provides detailed hemodynamic analysis of the saphenofemoral junction.