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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 2003 June;22(2):177-81

Copyright © 2003 EDIZIONI MINERVA MEDICA

lingua: Inglese

Global venous function correlates better than duplex derived reflux to clinical class in the evaluation of chronic venous disease

Danielsson G., Norgren L., Jungbeck C., Peterson K.

Section of Vascular Surgery, Department of Surgery, Lund University Hospital, Lund, Sweden


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Aim. To com­pare the symp­toms and signs of ­patients with chron­ic ­venous dis­ease with the objec­tive ­results of ­duplex ultra­sound and ple­thys­mog­ra­phy (foot volum­e­try).
Meth­ods. One hun­dred and one ­patients with symp­to­mat­ic chron­ic ­venous dis­ease were inves­ti­gat­ed with ­duplex ultra­sound and foot volum­e­try. ­Patients were clas­si­fied accord­ing to the CEAP clas­sifi­ca­tion and the symp­toms of pain, heavi­ness, tir­ed­ness, ankle swell­ing and night ­cramps were grad­ed. The sever­ity of the dis­ease was ­judged objec­tive­ly by the ­reflux time (sum of ­reflux time at 6 lev­els) and the ­venous func­tion was meas­ured glo­bal­ly with ­expelled vol­ume (ml) and refill­ing rate (Q) (ml/100 ­mlxmin) after exer­cise, and ­expelled vol­ume relat­ed to foot vol­ume (EVrel), (ml/100 ml). The ratio Q/EVrel)was cal­cu­lat­ed. Cor­re­la­tion was cal­cu­lat­ed ­between clin­i­cal class, symp­toms and objec­tive param­e­ters.
­Results. The cor­re­la­tion anal­y­ses ­showed a clear con­stant rela­tion­ship ­between the CEAP clin­i­cal clas­sifi­ca­tion and the foot volum­e­try meas­ures (Q/EVrel), r=0.48; p<0.01) There was no such rela­tion­ship ­between clin­i­cal class and the sum of ­duplex cal­cu­lat­ed ­reflux time (r=-0.05), or ­between foot volum­e­try and ­reflux time. There was no cor­re­la­tion ­between the clin­i­cal class and the total score of symp­toms (r=0.044).
Con­clu­sion. The clin­i­cal class of CEAP clas­sifi­ca­tion cor­re­lates sig­nif­i­cant­ly with foot volum­e­try param­e­ters. There is no cor­re­la­tion ­between clin­i­cal class and ­reflux time. The sever­ity of the ­venous dis­or­der and sub­se­quent­ly the need for treat­ment is more accu­rate­ly ­judged by foot volum­e­try as a glo­bal meas­ure. Clin­i­cal clas­sifi­ca­tion has a realis­tic mean­ing con­cern­ing the func­tion­al eval­u­a­tion of ­venous dis­ease.

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