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INTERNATIONAL ANGIOLOGY

Rivista di Angiologia


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2000 September;19(3):228-230

Copyright © 2001 EDIZIONI MINERVA MEDICA

lingua: Inglese

Color Doppler sonography of arteries associated with perforating veins

Kröger K., Massalha K., Rudofsky G.

From the Clinic for Angiology, Essen Clinic, Germany


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Background. It has been known for some time that per­fo­rat­ing veins had asso­ciat­ed per­fo­rat­ing arter­ies. There has been no way to inves­ti­gate these arter­ies pre­op­er­a­tive­ly. The newer high res­o­lu­tion ultra­son­ic devic­es ­enable us to inves­ti­gate these arter­ies. We are able to local­ize, deter­mine the fre­quen­cy, and meas­ure the size of the arter­ies asso­ciat­ed with per­fo­rat­ing veins of the lower extrem­ities.
Methods. All ­patients were stud­ied in our clin­i­cal vas­cu­lar labor­a­to­ry. Patients: 55 ­patients with dif­fer­ent ­degrees of var­i­cos­ities were stud­ie. Measures: Each ­patient had their per­fo­rat­ing veins and arter­ies inves­ti­gat­ed with a 7.5 MHz lin­e­ar array trans­duc­er (Siemens, Type Elegra).
Results. 73% of the 233 per­fo­rat­ing veins iden­ti­fied had an asso­ciat­ed perforat­ing ­artery. No pre­ferred local­iza­tion of the per­fo­rat­ing veins was noted. The num­ber of loca­tion did not cor­re­late with the pres­ence or ­absence of incom­pe­tence of the veins. The per­fo­rat­ing arter­ies were locat­ed in close prox­im­ity to the per­fo­rat­ing veins but did not go far into the sub­cu­ta­ne­ous fat. The max­i­mum sys­tol­ic veloc­ity was 12±8 cm/sec.
Conclusions. The pre­op­er­a­tive detec­tion of per­fo­rat­ing arter­ies asso­ciat­ed with per­fo­rat­ing veins is pos­sible using a color Doppler scan­ner. Their path­o­phy­sio­log­i­cal func­tion and its rela­tion to bleed­ing com­pli­ca­tions, wound heal­ing and ulcer heal­ing can be stud­ied using this tool.

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