Recurrent Varicose Veins Part 1: Evaluation Utilizing Duplex Venous Imaging

Thibault, Paul Kenneth; Lewis, Warren Anthony
July 1992
Journal of Dermatologic Surgery & Oncology;Jul92, Vol. 18 Issue 7, p618
Academic Journal
There is the need to develop a universally accepted standard investigation for recurrent varicose veins. Duplex venous imaging offers a precise, non-invasive technique to make anatomic and hemodynamic diagnoses. A routine protocol of duplex imaging of recurrent varicose veins is described based on the known recurrent sources of reflux from deep to superficial veins. Results [from this protocol indicate that incompetent perforating veins are the most common site of reflux from deep to superficial veins in patients with recurrent postsurgical varicose veins. Other important sties of reflux detected by this method are recurrent communications with the common femoral vein, the saphenopopliteal junction, and incompetent pelvic veins. Duplex imaging is recommended as a safe, non-invasive method of evaluating recurrent varicose veins.


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