Background: Vascular ultrasonography (VU) is the examination of choice for studying the superficial venous system of the lower limbs and using VU to measure the diameters of saphenous veins could provide parameters for planning surgery.
Objectives: To employ VU to identify the diameters of great saphenous veins free from reflux in women and determine their relationships with age, height, CEAP classification, and body mass index (BMI).
Methods: This was a cross-sectional study in women with symptoms of primary chronic venous insufficiency (CEAP C0, 1, or 2) with no previous varicose vein surgery and no reflux detected by VU. The diameters of great saphenous veins (GSV) at the junction, thigh, and leg were measured with VU and correlated with age, height, CEAP clinical classification, and BMI.
Results: We assessed 204 limbs in 146 women. The GSV diameters measured were 6.5 mm at the saphenofemoral junction, 4.0 mm at the proximal thigh, 3.0 mm at the mid thigh, distal thigh, and knee and 2.5 mm at the leg. In all segments measured, there were statistically significant differences (p<0.05) when diameters were correlated with BMI. There were no statistically significant differences when diameters were correlated with CEAP class, height, or age.
Conclusions: We observed that the diameters of great saphenous veins free from reflux were independent of CEAP clinical classes 0/1 or 2; age; and height. However, GSV diameters were significantly related to patients’ BMI.
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http://dx.doi.org/10.1590/1677-5449.008016 | DOI Listing |
J Cardiothorac Surg
January 2025
Department of Cardiothoracic Surgery, Weill Cornell Medicine, 525 E 68th St, New York, NY, 10065, USA.
Background: Baseline systemic inflammation is associated with worse long-term outcomes after coronary artery bypass grafting [CABG], but the mechanisms of this association are unclear. This study aims to explore the association between pre-operative white blood cell [WBC] count and CABG graft failure.
Methods: We pooled individual patient data from two randomized clinical trials with systematic CABG graft imaging.
Case Rep Surg
January 2025
Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh 11322, Saudi Arabia.
Phlebolith is a term that refers to round-shaped calcified thrombi commonly located in the pelvic region. The occurrence of dense, linear calcifications or phlebolith-like formations within the soft tissues of the lower extremities, particularly in the superficial femoral, greater saphenous, or popliteal veins, is rare. This study presents the case of a 73-year-old woman who was being evaluated for postmenopausal bleeding.
View Article and Find Full Text PDFEur J Vasc Endovasc Surg
January 2025
Department of Phlebology, Skin and Vein Clinic Oosterwal, Alkmaar, the Netherlands.
Objective: The aim of this study was to compare anterior accessory saphenous vein (AASV) reflux after standard endovenous laser ablation (EVLA) vs. flush EVLA (fEVLA) of the great saphenous vein (GSV).
Methods: This was as randomised, single blind, controlled trial (Dutch Trial Register, NL5283).
J Vasc Surg
January 2025
Department of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. Electronic address:
Background: BEST-CLI established the superiority of single-segment great saphenous vein (ssGSV) conduits for revascularization in patients with CLTI; however, the generalizability of these data is unknown. Thus, we aimed to validate the long-term results of open surgical bypass (BPG) versus angioplasty with or without stenting (PTA/S) using the BEST-CLI inclusion and randomization criteria.
Methods: All patients undergoing a first-time lower extremity revascularization for CLTI at our institution from 2005 to 2022 were retrospectively reviewed.
Indian J Thorac Cardiovasc Surg
February 2025
Department of CTVS, AIIMS, Jodhpur, 342005 India.
Carotid artery stenting (CAS) has become a favoured alternative to surgical carotid endarterectomy (CEA) in select cases of critical internal carotid artery (ICA) occlusion. However, complications such as stent migration or entrapment can occur, necessitating prompt diagnosis and intervention. We present a case of a 75-year-old diabetic male who underwent CAS for recurrent presyncope at a private hospital, and during the procedure of CAS the stent was migrated and its proximal part was impacted in the critically narrowed part of the ICA.
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