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Journals / Cukurova Medical Journal / 2018 / Cilt: 43 - Sayı: 2

Sonographic identification of isolated incompetent perforating veins and their correlation with age, sex, body mass index and CEAP classification

İzole inkompetan perforan venlerin sonografik değerlendirilmesi ve yaş, cinsiyet, vücut kitle indeksi, CEAP sınıflandırması ile korelasyonu

Yeliz AKTÜRK
Aydın KURT
İlkay Sedakat İDİLMAN
Pages
360–366
Publication Date
2018-06-30
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It may be inferred that the increase in the patients' weights or BMIs does not lead to development of isolated incompetent perforating veins because the BMI of the patients with isolated incompetent perforating veins are found to be lower.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: Isolated incompetent perforating veins (IPVs) are poorly discussed in the literature and their importance and prevalence is unknown.
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Key Findings & Data:Materials and Methods: A total of 803 limbs of 485 patients were evaluated with duplex ultrasonography.
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Conclusion & Impact:It may be inferred that the increase in the patients' weights or BMIs does not lead to development of isolated incompetent perforating veins because the BMI of the patients with isolated incompetent perforating veins are found to be lower.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:perforan · ven · perforating

Abstract

Purpose: Isolated incompetent perforating veins (IPVs) are poorly discussed in the literature and their importance and prevalence is unknown. This study aims to assess the prevalence and their relation with several factors; age, sex, location and body mass index (BMI). Materials and Methods: A total of 803 limbs of 485 patients were evaluated with duplex ultrasonography. The clinical severity of the affected limbs were assessed according to CEAP classification. Incompetent perforating veins were considered isolated if neither superficial nor deep venous system reflux were associated. Results: 617 legs were classified as CEAP 0-2, 186 legs were classified as CEAP 3 or higher. There was a significant correlation with age, sex, BMI, incompetent perforating veins and CEAP stage. 22 of 803 legs (2.7%) have been shown to have isolated incompetent perforating veins. Total of 25 isolated incompetent perforating veins were detected in these 22 legs (19 patients; 14 females, 5 males). All patients with isolated incompetent perforating veins had CEAP stage 0-2. The mean BMI of these patients was lower than the whole patients groups. Conclusion: The results of this study show that isolated IPVs may also be a cause of venous insufficiency. It may be inferred that the increase in the patients' weights or BMIs does not lead to development of isolated incompetent perforating veins because the BMI of the patients with isolated incompetent perforating veins are found to be lower.

Özet

Amaç: Bu çalışmada izole inkompetan perforan venlerin prevalansının belirlenmesi ve çeşitli faktörlerle (yaş, cinsiyet, lokasyon ve vücut kitle indeksi) ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Toplam 485 hastaya ait 803 bacak dupleks ultrasonografi ile değerlendirilmiştir. Venöz yetmezliğin klinik ciddiyeti CEAP sınıflandırması ile yapılmıştır. Yüzeyel ve derin venöz yetmezliğin eşlik etmediği perforan venler, izole inkompetan perforan ven olarak tanımlanmıştır. Bulgular: 617 bacak CEAP 0-2, 186 bacak CEAP 3 ve üzeri olarak sınıflandırıldı. Yaş, cinsiyet, vücut kitle indeksi ve inkompetan perforan venler ile CEAP sınıflaması arasında anlamlı korelasyon mevcuttu. 803 bacaktan 22’sinde (%2.7) izole inkompetan perforan ven tespit edildi. Bu 22 bacakta toplam 25 adet izole inkompetan perforan ven vardı. Olguların 14’ü kadın, 5’i erkekti. Bu olguların tamamı CEAP 0-2 arasında sınıflandı. Olguların vücut kitle indeksi tüm hasta grubuna göre daha düşük bulundu. Sonuç: Bu çalışmanın sonuçları izole inkompetan perforan venlerin de venöz yetmezliğe yol açabileceğini göstermektedir. Vücut kitle indeksi, izole inkompetan perforan ven izlenen grupta daha düşük bulunmuştur. Bu nedenle hasta kilosunda yada vücut kitle indeksindeki artışın, izole perforan ven yetmezliği gelişimine anlamlı yatkınlık oluşturmadığı sonucuna varılabilir.

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Cite This Article

AKTÜRK, Y., KURT, A., İDİLMAN, İ. S. (2018). Sonographic identification of isolated incompetent perforating veins and their correlation with age, sex, body mass index and CEAP classification. Cukurova Medical Journal, Cilt: 43 - Sayı: 2, 360–366. https://ajindex.com/articles/56608

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