Evaluation of Varicose Veins of the Lower Extremity: the Value of the Duplex Ultrasound (Part 1)

Learning objectives

• Basic knowledge of the physiology, pathophysiology, classification, and epidemiology of chronic venous disease

• Basic knowledge of the anatomy of the venous system in the lower extremities

• Duplex ultrasound criteria for diagnosing varicosis

• References/Literatur

• 1 Gloviczki P, Comerota AJ, Dalsing MC et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53: 2S-48S
• 2 Cavezzi A, Labropoulos N, Partsch H et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs – UIP consensus document. Part II. Anatomy. Eur J Vasc Endovasc Surg 2006; 31: 288-299
• 3 Coleridge-Smith P, Labropoulos N, Partsch H et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs – UIP consensus document. Part I. Basic principles. Eur J Vasc Endovasc Surg 2006; 31: 83-92
• 4 Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation 2014; 130: 333-346
• 5 Eklof B, Perrin M, Delis KT et al. Updated terminology of chronic venous disorders: the VEIN-TERM transatlantic interdisciplinary consensus document. J Vasc Surg 2009; 49: 498-501
• 6 Eklöf B, Rutherford RB, Bergan JJ et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg 2004; 40: 1248-1252
• 7 Rabe E, Guex JJ, Puskas A et al. Epidemiology of chronic venous disorders in geographically diverse populations: results from the Vein Consult Program. Int Angiol 2012; 31: 105-115
• 8 Evans CJ, Fowkes FG, Ruckley CV et al. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health 1999; 53: 149-153
• 9 Jawien AGT, Ochwat A. Prevalence of chronic venous insufficiency in men and women in Poland: multicentre cross-sectional study in 40095 patients. Phlebology 2003; 18: 110-121
• 10 Caggiati A, Bergan JJ, Gloviczki P et al. Nomenclature of the veins of the lower limbs: an international interdisciplinary consensus statement. J Vasc Surg 2002; 36: 416-422
• 11 Caggiati A, Bergan JJ, Gloviczki P et al. Nomenclature of the veins of the lower limb: extensions, refinements, and clinical application. J Vasc Surg 2005; 41: 719-724
• 12 Quinlan DJ, Alikhan R, Gishen P et al. Variations in lower limb venous anatomy: implications for US diagnosis of deep vein thrombosis. Radiology 2003; 228: 443-448
• 13 Riordon Dickson GH, Thomson IA, van Rij AM. The valves and tributary veins of the saphenofemoral junction: ultrasound findings in normal limbs. Veins and Lymphatics 2013; 2: e18: 63-67
• 14 Mühlberger D, Morandini L, Brenner E. Venous valves and major superficial tributary veins near the saphenofemoral junction. J Vasc Surg 2009; 49: 1562-1569
• 15 Schweighofer G, Mühlberger D, Brenner E. The anatomy of the small saphenous vein: fascial and neural relations, saphenofemoral junction, and valves. J Vasc Surg 2010; 51: 982-989
• 16 Mendoza EHAB. Blood-flow provocation in ultrasound diagnosis of varicose veins. Gefässchirurgie 2001; 6: 43-46
• 17 Jeanneret CSL, Aschwanden M, Jäger KA. Intraindividuelle Variabilität des mit standardisierten Valsalva Manöver erzeugten venösen Refluxes bei Venengesunden. VASA 1999; 28: 223-238
• 18 Needleman L. Update on the Lower Extremity Venous Ultrasonography Examination. Radiol Clin North Am 2014; 52: 1359-1374
• 19 Labropoulos N, Tiongson J, Pryor L et al. Definition of venous reflux in lower-extremity veins. J Vasc Surg 2003; 38: 793-798
• 20 Parks T, Lamka C, Nordestgaard A. Changes in Perforator vein Reflux after saphenous Ablation. J Vasc Ultrasound 2008; 32: 141-144