Prognosis of distal segment reflux after proximal segment treatment of an incompetent small saphenous vein.

IF 1.4 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

Annals of vascular surgery Pub Date : 2025-03-11 DOI:10.1016/j.avsg.2025.02.014

Ki Pyo Hong

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引用次数: 0

Abstract

Objectives: This study aimed to analyze postoperative changes in distal segment reflux after treatment of the proximal segment of an incompetent small saphenous vein (SSV).

Methods: This was a retrospective study of patients treated between April 2017 and July 2022 with a diagnosis of incompetent SSV. Patients who had undergone previous treatment for varicose veins, including sclerotherapy, and those without post-procedure Doppler follow-up were excluded.

Results: A total of 129 patients (151 limbs) were studied, with a mean follow-up of 15 months (6-62 months), a male-to-female sex ratio of 1:1.9, and a mean age of 56 years (24-83 years). Residual reflux in the distal segment was present in 19% (29/151) of lower extremities after SSV proximal segment treatment. Only five patients (5/129) had lower extremity symptoms with residual reflux in the distal segment after treatment. The persistence of reflux in the distal segment of the SSV was not associated with age, sex, body mass index, laterality, preoperative SSV diameter and duration of reflux, concomitant popliteal vein reflux, incompetent GSV below the knee, CEAP clinical class, or treatment modality.

Conclusions: After treatment of the proximal segment of the incompetent SSV, less than 4% of all patients had residual reflux in the distal segment accompanied by symptoms in the ipsilateral lower extremity.

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来源期刊

Annals of vascular surgery 医学-外科

CiteScore

3.00

自引率

13.30%

发文量

603

审稿时长

50 days

期刊介绍： Annals of Vascular Surgery, published eight times a year, invites original manuscripts reporting clinical and experimental work in vascular surgery for peer review. Articles may be submitted for the following sections of the journal: Clinical Research (reports of clinical series, new drug or medical device trials) Basic Science Research (new investigations, experimental work) Case Reports (reports on a limited series of patients) General Reviews (scholarly review of the existing literature on a relevant topic) Developments in Endovascular and Endoscopic Surgery Selected Techniques (technical maneuvers) Historical Notes (interesting vignettes from the early days of vascular surgery) Editorials/Correspondence