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Comparison of venous reflux assessed by duplex scanning and descending phlebography in chronic venous disease

Venous reflux was assessed by duplex scanning and descending phlebography in 98 limbs of 52 patients. There was moderately good agreement for deep vein reflux elicited by a standardised Valsalva manoeuvre, classified by a modified Kistner grading (0 to IV). The same grade was found in 58 limbs, with... Full description

Journal Title: The Lancet Feb 13, 1993, Vol.341(8842), pp.400-3
Main Author: Baker, S
Other Authors: Burnand, K , Sommerville, K , Thomas, M
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 01406736 ; E-ISSN: 1474547X ; DOI: 10.1016/0140-6736(93)92989-7
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title: Comparison of venous reflux assessed by duplex scanning and descending phlebography in chronic venous disease
format: Article
creator:
  • Baker, S
  • Burnand, K
  • Sommerville, K
  • Thomas, M
subjects:
  • Adult–Ultrasonography
  • Aged–Radiography
  • Aged, 80 & Over–Ultrasonography
  • Chronic Disease–Physiopathology
  • Female–Radiography
  • Humans–Ultrasonography
  • Male–Ultrasonography
  • Middle Aged–Ultrasonography
  • Phlebography–Ultrasonography
  • Regional Blood Flow–Ultrasonography
  • Saphenous Vein–Ultrasonography
  • Thrombophlebitis–Ultrasonography
  • Thrombophlebitis–Ultrasonography
  • Venous Insufficiency–Ultrasonography
  • Venous Insufficiency–Ultrasonography
  • Venous Insufficiency–Ultrasonography
  • Medical Research
  • Medical Imaging
  • Disease
ispartof: The Lancet, Feb 13, 1993, Vol.341(8842), pp.400-3
description: Venous reflux was assessed by duplex scanning and descending phlebography in 98 limbs of 52 patients. There was moderately good agreement for deep vein reflux elicited by a standardised Valsalva manoeuvre, classified by a modified Kistner grading (0 to IV). The same grade was found in 58 limbs, with a difference of one grade in 27 limbs, and more than one grade in 13. Descending phlebography underestimated reflux in the lower leg compared with duplex scanning. The presence of reflux found on duplex scan correlated with the half-volume refilling time on a foot-volume plethysmogram with a below-knee tourniquet. There was no correlation between descending phlebography and the half-refilling time. Ascending phlebography showed post-thrombotic changes in 23 limbs. The duplex scan confirmed severe reflux (grades III and IV) in 14 of these 23 limbs, and demonstrated isolated reflux below normal valves in 4 other limbs. Severe reflux was seen on the descending phlebogram in only 10 of the 23 limbs...
language: eng
source:
identifier: ISSN: 01406736 ; E-ISSN: 1474547X ; DOI: 10.1016/0140-6736(93)92989-7
fulltext: fulltext
issn:
  • 01406736
  • 0140-6736
  • 1474547X
  • 1474-547X
url: Link


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titleComparison of venous reflux assessed by duplex scanning and descending phlebography in chronic venous disease
creatorBaker, S ; Burnand, K ; Sommerville, K ; Thomas, M
ispartofThe Lancet, Feb 13, 1993, Vol.341(8842), pp.400-3
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subjectAdult–Ultrasonography ; Aged–Radiography ; Aged, 80 & Over–Ultrasonography ; Chronic Disease–Physiopathology ; Female–Radiography ; Humans–Ultrasonography ; Male–Ultrasonography ; Middle Aged–Ultrasonography ; Phlebography–Ultrasonography ; Regional Blood Flow–Ultrasonography ; Saphenous Vein–Ultrasonography ; Thrombophlebitis–Ultrasonography ; Thrombophlebitis–Ultrasonography ; Venous Insufficiency–Ultrasonography ; Venous Insufficiency–Ultrasonography ; Venous Insufficiency–Ultrasonography ; Medical Research ; Medical Imaging ; Disease
descriptionVenous reflux was assessed by duplex scanning and descending phlebography in 98 limbs of 52 patients. There was moderately good agreement for deep vein reflux elicited by a standardised Valsalva manoeuvre, classified by a modified Kistner grading (0 to IV). The same grade was found in 58 limbs, with a difference of one grade in 27 limbs, and more than one grade in 13. Descending phlebography underestimated reflux in the lower leg compared with duplex scanning. The presence of reflux found on duplex scan correlated with the half-volume refilling time on a foot-volume plethysmogram with a below-knee tourniquet. There was no correlation between descending phlebography and the half-refilling time. Ascending phlebography showed post-thrombotic changes in 23 limbs. The duplex scan confirmed severe reflux (grades III and IV) in 14 of these 23 limbs, and demonstrated isolated reflux below normal valves in 4 other limbs. Severe reflux was seen on the descending phlebogram in only 10 of the 23 limbs...
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descriptionVenous reflux was assessed by duplex scanning and descending phlebography in 98 limbs of 52 patients. There was moderately good agreement for deep vein reflux elicited by a standardised Valsalva manoeuvre, classified by a modified Kistner grading (0 to IV). The same grade was found in 58 limbs, with a difference of one grade in 27 limbs, and more than one grade in 13. Descending phlebography underestimated reflux in the lower leg compared with duplex scanning. The presence of reflux found on duplex scan correlated with the half-volume refilling time on a foot-volume plethysmogram with a below-knee tourniquet. There was no correlation between descending phlebography and the half-refilling time. Ascending phlebography showed post-thrombotic changes in 23 limbs. The duplex scan confirmed severe reflux (grades III and IV) in 14 of these 23 limbs, and demonstrated isolated reflux below normal valves in 4 other limbs. Severe reflux was seen on the descending phlebogram in only 10 of the 23 limbs...
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titleComparison of venous reflux assessed by duplex scanning and descending phlebography in chronic venous disease
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abstractVenous reflux was assessed by duplex scanning and descending phlebography in 98 limbs of 52 patients. There was moderately good agreement for deep vein reflux elicited by a standardised Valsalva manoeuvre, classified by a modified Kistner grading (0 to IV). The same grade was found in 58 limbs, with a difference of one grade in 27 limbs, and more than one grade in 13. Descending phlebography underestimated reflux in the lower leg compared with duplex scanning. The presence of reflux found on duplex scan correlated with the half-volume refilling time on a foot-volume plethysmogram with a below-knee tourniquet. There was no correlation between descending phlebography and the half-refilling time. Ascending phlebography showed post-thrombotic changes in 23 limbs. The duplex scan confirmed severe reflux (grades III and IV) in 14 of these 23 limbs, and demonstrated isolated reflux below normal valves in 4 other limbs. Severe reflux was seen on the descending phlebogram in only 10 of the 23 limbs...
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doi10.1016/0140-6736(93)92989-7
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