Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Where does venous reflux start?

N Labropoulos1, A D Giannoukas, K Delis

  • 1Division of Peripheral Vascular Surgery, Loyola University Medical Center, Maywood, Ill. 60153-3304, USA.

Journal of Vascular Surgery
|December 31, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Fatigue of textiles used in vascular surgery: Application to carotid endarterectomy.

Journal of the mechanical behavior of biomedical materials·2020
Same author

Antiplatelet Resistance in Ischaemic Stroke Patients.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2017
Same author

Haemostatic Gauze Emerging From The Neck Incision Five Months after Carotid Endarterectomy.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2017
Same author

Re: 'Long-term Mortality in Patients with Asymptomatic Carotid Stenosis: Implications for Statin Therapy'.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2016
Same author

Endovascular Treatment of a Saccular Thoracic Aortic Aneurysm with Contained Rupture Inside a Para-aortic Mass.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2016
Same author

Screening for Asymptomatic Carotid Plaques with Ultrasound.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2016
Same journal

Impact of Insurance Status on Urgency of Presentation and Perioperative Outcomes Following Endovascular Repair of Abdominal Aortic Aneurysms: A Vascular Quality Initiative Analysis.

Journal of vascular surgery·2026
Same journal

Large language models routinely overcode peripheral endovascular procedures relative to professional coders.

Journal of vascular surgery·2026
Same journal

Comparison of Deep and Non-Deep Hypothermia in Thoracic and Thoracoabdominal Aortic Surgery: A Systematic Review and Meta-Analysis.

Journal of vascular surgery·2026
Same journal

Horner Syndrome Secondary to Giant Shamblin Type III Carotid Body Tumor.

Journal of vascular surgery·2026
Same journal

Three-Year Outcomes of Supera Interwoven Nitinol Stents Versus Eluvia Drug-Eluting Stents in Severely Calcified Femoropopliteal Lesions.

Journal of vascular surgery·2026
Same journal

Comparative Effectiveness of Drug-coated and Uncoated Balloon Angioplasty in Dysfunctional Hemodialysis Circuits among Medicare Beneficiaries.

Journal of vascular surgery·2026
See all related articles

Primary venous reflux, often originating in below-knee veins, is common even in asymptomatic young individuals. This suggests reflux is a localized issue, not always indicative of widespread venous disease.

Area of Science:

  • Vascular Medicine
  • Venous Physiology
  • Diagnostic Imaging

Background:

  • Primary venous reflux is a common condition affecting lower limbs.
  • Understanding the origin of venous reflux is crucial for diagnosis and management.
  • Asymptomatic individuals may present with venous abnormalities.

Purpose of the Study:

  • To identify the origin of primary lower limb venous reflux in asymptomatic young individuals.
  • To compare reflux patterns in asymptomatic subjects with those exhibiting prominent or varicose veins.
  • To investigate the prevalence and location of venous reflux across different clinical presentations.

Main Methods:

  • Color flow duplex imaging was used to examine superficial, perforator, and deep veins in 190 lower limbs across three groups: asymptomatic (n=80), prominent nonvaricose veins (n=40), and varicose veins (n=100).

Related Experiment Videos

  • Subjects were aged 15-35 years and matched for age and sex.
  • Exclusion criteria included a history of venous thrombosis, surgery, or sclerotherapy.

    • Main Results:

    • Reflux prevalence was 14% in asymptomatic individuals, 77% in those with prominent veins, and 87% in those with varicose veins.
    • Superficial venous reflux was predominant (>80%) in all groups, with the below-knee greater saphenous vein being the most common site.
    • Multisegmental reflux was significantly more frequent in patients with varicose veins (95%) compared to asymptomatic (18%) or prominent vein groups (54%).

    Conclusions:

    • Primary venous reflux can originate in any superficial or deep lower limb vein.
    • Below-knee veins are frequently involved in reflux, even in asymptomatic individuals.
    • Venous reflux appears to be a local or multifocal process, potentially independent of retrograde flow.