The impact of invasive treatment of superficial venous insufficiency of the lower extremities on cardiac functions.

IF 1.6 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

Phlebology Pub Date : 2023-09-01 Epub Date: 2023-07-17 DOI:10.1177/02683555231190452

Fatih Koca, Fatih Levent, Ahmet Burak Tatlı, Mehmet Demir, Erhan Tenekecioglu

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引用次数: 0

Abstract

Objective: The aim of the study was to investigate the effect of invasive treatment for chronic venous insufficiency (CVI) on cardiac hemodynamics.

Methods: Fifty three patients diagnosed with saphenofemoral junction or great saphenous vein insufficiency in a level above C3 according to Clinical-Etiology-Anatomy-Pathophysiology classification were included in the study. All the patients underwent 2D echocardiography before and 3 months after the invasive treatment.

Results: In postinvasive treatment echocardiographic assessment, significant decreases in right ventricular end-diastolic diameter (p = 0.006), TAPSE (p = 0.006), tricuspid E wave velocity (p = 0.004), tricuspid E/A ratio (p < 0.001), sPAB (p = 0.017), tricuspid lateral s' wave velocity (p = 0.004), and right ventricular free wall longitudinal strain rate (p = 0.011) were observed.

Conclusions: The invasive treatment of superficial venous insufficiency of the lower extremities may lead to reduction in the increased venous return in the supine position subclinically.

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微创治疗下肢浅静脉功能不全对心功能的影响。

目的：探讨有创治疗慢性静脉功能不全（CVI）对心脏血流动力学的影响。方法：根据临床病因、解剖学和病理生理学分类，53例诊断为C3以上隐股交界或大隐静脉功能不全的患者被纳入研究。所有患者在侵入性治疗前和治疗后3个月均接受了二维超声心动图检查。结果：在治疗后超声心动图评估中，观察到右心室舒张末期直径（p=0.006）、TAPSE（p=0.006）、三尖瓣E波速度（p=0.004）、三角瓣E/A比（p<0.001）、sPAB（p=0.017）、三心瓣外侧s波速度（p=0.004）和右心室自由壁纵向应变率（p=0.011）显著降低。结论：微创治疗下肢浅静脉功能不全可亚临床减少仰卧位静脉回流增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Phlebology 医学-外周血管病

CiteScore

3.30

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments. Print ISSN: 0268-3555