Seminars in Vascular Surgery
Volume 23, Issue 2 , Pages 113-117 , June 2010

Diagnosis and Current Management of Incompetent Perforator Veins

  • J. Leigh Eidson III, MD
    • ,
  • Ruth L. Bush, MD, MPH

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Ruth L. Bush, MD, MPH, Texas A & M University College of Medicine, Scott & White Hospital, 2401 S. 31st Street, Temple, TX 76508

References 

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  3. Beebe HG, Bergan JJ, Bergqvist D, et al. Classification and grading of chronic venous disease in the lower limbs (A consensus statement). Eur J Vasc Endovasc Surg. 1996;12:487–491discussion 91-92
  4. Labropoulos N, Tassiopoulos AK, Bhatti AF, Leon L. Development of reflux in the perforator veins in limbs with primary venous disease. J Vasc Surg. 2006;43:558–562
  5. Stuart WP, Adam DJ, Allan PL, Ruckley CV, Bradbury AW. The relationship between the number, competence, and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease. J Vasc Surg. 2000;32:138–143
  6. Homans J. The etiology and treatment of varicose ulcer of the leg. Surg Gynecol Obstet. 1917;24:300–311
  7. Linton RR. The communicating veins of the lower leg and the operative technic for their ligation. Ann Surg. 1938;107:582–593
  8. Hauer G, Barkun J, Wisser I, Deiler S. Endoscopic subfascial discission of perforating veins. Surg Endosc. 1988;2:5–12
  9. Luebke T, Brunkwall J. Meta-analysis of subfascial endoscopic perforator vein surgery (SEPS) for chronic venous insufficiency. Phlebology. 2009;24:8–16
  10. Stacey MC, Burnand KG, Layer GT, Pattison M. Calf pump function in patients with healed venous ulcers is not improved by surgery to the communicating veins or by elastic stockings. Br J Surg. 1988;75:436–439
  11. Owens LV, Farber MA, Young ML, et al. The value of air plethysmography in predicting clinical outcome after surgical treatment of chronic venous insufficiency. J Vasc Surg. 2000;32:961–968
  12. van Gent WB, Hop WC, van Praag MC, Mackaay AJ, de Boer EM, Wittens CH. Conservative versus surgical treatment of venous leg ulcers: A prospective, randomized, multicenter trial. J Vasc Surg. 2006;44:563–571
  13. Stuart WP, Adam DJ, Allan PL, Ruckley CV, Bradbury AW. Saphenous surgery does not correct perforator incompetence in the presence of deep venous reflux. J Vasc Surg. 1998;28:834–838
  14. Mendes RR, Marston WA, Farber MA, Keagy BA. Treatment of superficial and perforator venous incompetence without deep venous insufficiency: Is routine perforator ligation necessary?. J Vasc Surg. 2003;38:891–895
  15. Al-Mulhim AS, El-Hoseiny H, Al-Mulhim FM, et al. : Surgical correction of main stem reflux in the superficial venous system: Does it improve the blood flow of incompetent perforating veins?. World J Surg. 2003;27:793–796
  16. Stuart WP, Lee AJ, Allan PL, Ruckley CV, Bradbury AW. Most incompetent calf perforating veins are found in association with superficial venous reflux. J Vasc Surg. 2001;34:774–778
  17. Zamboni P, Cisno C, Marchetti F, et al. Minimally invasive surgical management of primary venous ulcers vs. compression treatment: A randomized clinical trial. Eur J Vasc Endovasc Surg. 2003;25:313–318
  18. Barwell JR, Davies CE, Deacon J, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): Randomised controlled trial. Lancet. 2004;363:1854–1859
  19. Gohel MS, Barwell JR, Taylor M, et al. Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR): Randomised controlled trial. BMJ. 2007;335:83
  20. Kianifard B, Holdstock J, Allen C, Smith C, Price B, Whiteley MS. Randomized clinical trial of the effect of adding subfascial endoscopic perforator surgery to standard great saphenous vein stripping. Br J Surg. 2007;94:1075–1080
  21. Fitridge RA, Dunlop C, Raptis S, Thompson MM, Leppard P, Quigley F. A prospective randomized trial evaluating the haemodynamic role of incompetent calf perforating veins. Aust N Z J Surg. 1999;69:214–216
  22. Hobbs JT. Surgery and sclerotherapy in the treatment of varicose veins (A random trial). Arch Surg. 1974;109:793–796
  23. Masuda EM, Kessler DM, Lurie F, Puggioni A, Kistner RL, Eklof B. The effect of ultrasound-guided sclerotherapy of incompetent perforator veins on venous clinical severity and disability scores. J Vasc Surg. 2006;43:551–556discussion 556-557
  24. Bacon JL, Dinneen AJ, Marsh P, Holdstock JM, Price BA, Whiteley MS. Five-year results of incompetent perforator vein closure using TRans-Luminal Occlusion of Perforator. Phlebology. 2009;24:74–78

PII: S0895-7967(10)00008-6

doi: 10.1053/j.semvascsurg.2010.01.007

Seminars in Vascular Surgery
Volume 23, Issue 2 , Pages 113-117 , June 2010

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