Diameter reflux relationship in perforating veins of patients with varicose veins and its correlation with clinical severity of disease

Sunil Kumar Yadav; Yajnadatta Sarangi; M. G. Vashist; Shiva Asati; Amrit Batania; Anil Kumar Kaushik

doi:10.53730/ijhs.v6nS1.8564

Authors

Sunil Kumar Yadav Assistant Professor, Department of Surgery, Pt. B.D. Sharma PGIMS Rohtak, Haryana, India
Yajnadatta Sarangi Junior Resident, Department of Surgery, Pt. B.D. Sharma PGIMS Rohtak, Haryana, India
M. G. Vashist Senior Professor and Unit Head, Department of Surgery, Pt. B.D. Sharma PGIMS Rohtak, Haryana, India
Shiva Asati Junior Resident, Department of Surgery, Pt. B.D. Sharma PGIMS Rohtak, Haryana, India
Amrit Batania Junior Resident, Department of Surgery, Pt. B.D. Sharma PGIMS Rohtak, Haryana, India
Anil Kumar Kaushik Junior Resident, Department of Surgery, Pt. B.D. Sharma PGIMS Rohtak, Haryana, India

Keywords:

Varicose Veins, Perforators, Color Doppler, Incompetent Perforators

Abstract

Treatment of chronic venous insufficiency requires understanding of the hemodynamics of perforating veins. Color Doppler analysis is the best modality to understand the hemodynamics of perforators. Perforating veins were categorized as competent or incompetent depending on the duration of reflux. Perforating veins in which duration of reflux was more than 0.5 seconds were categorized as incompetent perforating veins and perforating veins with reflux less than 0.5 seconds were categorized as competent perforating veins. The average diameter of incompetent perforators was increasing with increasing severity of disease. The number of incompetent perforator per limb also increased with worsening of disease severity and it was signiﬁcantly higher in CEAP classes 4–6 compared to CEAP classes from 1 to 3 (p<0.05). The average diameter of incompetent perforator in the present study was 3.8mm.

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