The Effect of Isolated Phlebectomy on Reflux and Diameter of the Great Saphenous Vein: A Prospective Study

Abstract Objectives To evaluate the effect of phlebectomy on venous reflux and diameter of the great saphenous vein (GSV). Design Prospective cohort study. Method Patients presenting with reflux in the GSV resulting in varicose veins were included in this series. Patients were treated by phlebectomy...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2010-07, Vol.40 (1), p.122-128
Main Authors: Pittaluga, P, Chastanet, S, Locret, T, Barbe, R
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
ASVAL method
Blood Flow Velocity
Female
Humans
Italy
Longitudinal Studies
Male
Middle Aged
Phlebectomy
Prospective Studies
Regional Blood Flow
Saphenous reflux
Saphenous Vein - diagnostic imaging
Saphenous Vein - physiopathology
Saphenous Vein - surgery
Stockings, Compression
Surgery
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Duplex
Varicose vein surgery
Varicose Veins - diagnostic imaging
Varicose Veins - physiopathology
Varicose Veins - surgery
Vascular Surgical Procedures
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Summary:Abstract Objectives To evaluate the effect of phlebectomy on venous reflux and diameter of the great saphenous vein (GSV). Design Prospective cohort study. Method Patients presenting with reflux in the GSV resulting in varicose veins were included in this series. Patients were treated by phlebectomy for dilated and incompetent tributaries of the GSV with conservation of the incompetent GSV. We measured reflux duration (RD), peak reflux velocity (PRV) and the diameter of the GSV using duplex ultrasound imaging at inclusion and 1 month after surgery. Patients We included 55 limbs in 54 patients (30 women and 24 men) aged from 37 to 83 (mean age 63) years. Results Following treatment we observed a significant reduction of the mean RD (0.81s vs. 1.5 s p  
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2010.03.031