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A Study of Valvular Incompetencies in the Lower Limb Veins Using Doppler Ultrasound Findings
Sangeetha Arumugam1, Durgavajjala Pragnya Manaswini1, Prudhvinath A Reddy2
1Department of Anatomy, All India Institute of Medical Sciences, Mangalagiri, IND.
Varicose veins in India predominantly affect males aged 31-40 and females aged 50-60. The medial leg perforator is the most common site of venous reflux, indicating a need for targeted Doppler ultrasound examination.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Medical Research
Background:
- Varicose veins (VV) are a prevalent lower limb venous pathology, with higher incidence in the Indian population.
- Doppler ultrasound (DU) is a key diagnostic tool for assessing venous system abnormalities.
Purpose of the Study:
- To identify the most frequently affected anatomical structures in male and female patients with varicose veins.
- To analyze demographic and clinical data in relation to venous reflux patterns.
Main Methods:
- Retrospective analysis of 200 Doppler ultrasound reports of varicose vein patients.
- Categorization of affected venous structures and CEAP classification.
- Statistical analysis using Pearson's correlation coefficient.
Main Results:
- The medial leg perforator (95%) was the most commonly affected structure in the perforator venous system.
- Great saphenous reflux was observed in 63% of cases.
- Males aged 31-40 (left side predominantly) and females aged 50-60 were the most affected demographic groups.
Conclusions:
- Varicose vein occurrence involves superficial, deep, and perforator veins, with medial leg perforators being most frequently implicated.
- Minimal deep vein involvement was noted in early-stage (C1-C3) varicose veins.
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