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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Frequency: Bi-Monthly

ISSN 0392-9590

Online ISSN 1827-1839


International Angiology 2004 September;23(3):213-7


Quantitative air-plethysmographic venous function and ambulatory venous pressure in patients with primary varicose vein

Tachibana M., Hiroe T., Kanaoka Y., Ohgi S.

Divi­sion of Organ Regen­er­a­tion Sur­gery, Depart­ment of Sur­gery, Tot­to­ri Uni­ver­sity Facul­ty of Med­i­cine, Tot­to­ri, Japan

Aim. The pur­pose of this study was to inves­ti­gate the rela­tion­ship ­between air-ple­thys­mo­graph­ic vol­ume param­e­ters under stan­dard exer­cise load­ing and foot ­venous pres­sure param­e­ters under ideal exer­cise load­ing in ­patients with pri­mary var­i­cose veins.
Meth­ods. Sev­en­ty-one lower limbs in 39 ­patients with pri­mary var­i­cose veins and 8 lower limbs in 4 ­healthy con­trols were exam­ined. The ­patients includ­ed 12 males and 27 ­females, rang­ing in age from 36 to 79 years. Eight­een limbs were asymp­to­mat­ic (class 0) limbs, 28 limbs had symp­toms of swell­ing or heavi­ness (class 1), and 25 had skin ­lesions (class 2+3). The ­patients and con­trols were exam­ined with ­duplex scan­ning, air-ple­thys­mog­ra­phy, and ambu­la­to­ry foot ­venous pres­sure meas­ure­ment.
­Results. The mean ambu­la­to­ry ­venous pres­sure (AVP) was sig­nif­i­cant­ly high­er in the class 2+3 limbs than in the other class­es, but it was not sig­nif­i­cant­ly high­er in class 1 than in class 0. There were no sig­nif­i­cant dif­fer­enc­es ­between the class 2+3 limbs and class 1 limbs in any of the air-ple­thys­mo­graph­ic param­e­ters. How­ev­er, the VFI in the class 0 limbs was sig­nif­i­cant­ly dif­fer­ent from that in the other 2 ­groups. Among all param­e­ters exam­ined, the ­venous fill­ing index (VFI) was the most close­ly cor­re­lat­ed with the AVP. All air-ple­thys­mo­graph­ic param­e­ters were neg­a­tive­ly cor­re­lat­ed with the VRT.
Con­clu­sion. Among non-inva­sive air-ple­thys­mo­graph­ic vol­ume param­e­ters, VFI is the most reli­able indi­ca­tor for quan­ti­ta­tive eval­u­a­tion of calf pump func­tion.

language: English


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