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Venous hemodynamic abnormalities in patients with leg ulceration

Labropoulos, N., Leon, M., Geroulakos, G., Volteas, N., Chan, P., Nicolaides, A.N. (1995) Venous hemodynamic abnormalities in patients with leg ulceration. American Journal of Surgery, 169 (6). pp. 572-574. ISSN 0002-9610. (doi:10.1016/S0002-9610(99)80223-2) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:78345)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.
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Purpose: Venous ulceration in the leg has been predominantly associated with deep venous insufficiency, although a few reports have implicated the superficial veins. The aim of this study was to identify the distribution of valvular incompetence in patients with active leg ulceration. Patients and methods: Color flow duplex imaging (CFDI) ultrasonography was used to evaluate the entire venous system—superficial, perforator and deep-from groin to ankle in 112 limbs of 94 patients with venous leg ulcers. Results: Seventy two limbs (64%) had multisystem ncompetence and 36 (32%) had one system involved only, whereas in 4 limbs (4%) there was no venous incompetence. Deep venous reflux exclusively was present in 7 limbs (6%) and the perforator system alone was involved only in 3 limbs (3%). However, isolated superficial incompetence was seen in 26 extremities (23%) and combination of superficial with perforator system alone in 23 (21%). In addition, reflux overall in the superficial system (alone and in combination with perforator and deep systems) was seen in 94 limbs (84%). The most common pattern (28%) of abnormality was reflux in all systems, superficial, perforator, and deep. Conclusions: The results of this study show that variable combined patterns account for over two thirds of patients with ulceration. No comprehensive surgical policy for alleviating ulceration can be justified; we suggest that a complete evaluation of all venous systems from groin to ankle with CFDI ultrasonography in patients with venous ulceration is practical on a routine basis and will be particularly valuable before surgery in order to target intervention at specific incompetent sites.

Item Type: Article
DOI/Identification number: 10.1016/S0002-9610(99)80223-2
Uncontrolled keywords: adolescent, adult, aged, article, color ultrasound flowmetry, female, hemodynamics, human, leg ulcer, major clinical study, male, priority journal, vein insufficiency, vein valve, venous circulation, venous stasis
Divisions: Divisions > Division of Natural Sciences > Kent and Medway Medical School
Depositing User: Philip Chan
Date Deposited: 07 Nov 2019 15:47 UTC
Last Modified: 14 Dec 2023 04:15 UTC
Resource URI: (The current URI for this page, for reference purposes)

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