Chronic venous insufficiency: Venous valvular incompetence in superficial, deep, or perforating veins
Venous reflux that persists for longer than 1 sec in common femoral vein (CFV), femoral vein (FV), or popliteal vein (PV), or 0.5 sec at any other level considered clinically significant
"Proximal" and "distal" in venous system applies to position of vein segment in relation to position of heart (rather than flow direction of blood)
VVs defined as subcutaneous, usually tortuous veins measuring 3-4 mm or larger
IMAGING
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Attaran RR: Latest innovations in the treatment of venous disease. J Clin Med. 7(4), 2018
Garcia R et al: Duplex ultrasound for the diagnosis of acute and chronic venous diseases. Surg Clin North Am. 98(2):201-218, 2018
Spinedi L et al: Clinical and duplex ultrasound evaluation of lower extremities varicose veins - a practical guideline. Vasa. 46(5):325-336, 2017
Merchant RF et al: Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency. J Vasc Surg. 42(3):502-9; discussion 509, 2005
Neumyer MM: Ultrasound diagnosis of venous insufficiency. In Zwiebel et al: Introduction to Vascular Sonography, 5th ed. Philadelphia, Elsevier Saunders. 479-510, 2005
Perala J et al: Radiofrequency endovenous obliteration versus stripping of the long saphenous vein in the management of primary varicose veins: 3-year outcome of a randomized study. Ann Vasc Surg, 2005
Min RJ et al: Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol. 14(8):991-6, 2003
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Abbreviations
Varicose veins (VVs)
Definitions
Chronic venous insufficiency: Venous valvular incompetence in superficial, deep, or perforating veins
Venous reflux that persists for longer than 1 sec in common femoral vein (CFV), femoral vein (FV), or popliteal vein (PV), or 0.5 sec at any other level considered clinically significant
"Proximal" and "distal" in venous system applies to position of vein segment in relation to position of heart (rather than flow direction of blood)
VVs defined as subcutaneous, usually tortuous veins measuring 3-4 mm or larger
IMAGING
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Attaran RR: Latest innovations in the treatment of venous disease. J Clin Med. 7(4), 2018
Garcia R et al: Duplex ultrasound for the diagnosis of acute and chronic venous diseases. Surg Clin North Am. 98(2):201-218, 2018
Spinedi L et al: Clinical and duplex ultrasound evaluation of lower extremities varicose veins - a practical guideline. Vasa. 46(5):325-336, 2017
Merchant RF et al: Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency. J Vasc Surg. 42(3):502-9; discussion 509, 2005
Neumyer MM: Ultrasound diagnosis of venous insufficiency. In Zwiebel et al: Introduction to Vascular Sonography, 5th ed. Philadelphia, Elsevier Saunders. 479-510, 2005
Perala J et al: Radiofrequency endovenous obliteration versus stripping of the long saphenous vein in the management of primary varicose veins: 3-year outcome of a randomized study. Ann Vasc Surg, 2005
Min RJ et al: Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol. 14(8):991-6, 2003
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