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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

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


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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