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Abstract
The relationship between the functional status of the venous valves in the superficial
and deep veins and ulceration was evaluated in 42 patients. Twenty-five patients had
ulcers, 12 of these patients had a history of previous deep venous thrombosis and
13 of these patients denied such an event. Seventeen patients had normal ankle skin,
10 of these patients had a documented history of deep vein thrombosis and seven of
these patients had varicose veins only. An ultrasonic duplex scanner was used to document
the presence of reflux in all segments of the superficial and deep system. In the
entire group of 25 limbs with ulceration, valvular incompetence was noted in 22 limbs
at levels involving segments that communicated with the ulcer-bearing area. Of the
17 limbs with normal ankle skin, in only two instances was a single segment of posterior
tibial vein in midcalf found to be incompetent. For those patients with normal ankle
skin and a history of varicose veins, the deep veins below the common femoral vein
level were always competent.
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References
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Article info
Publication history
Accepted:
July 26,
1990
Footnotes
☆Supported in part by National Institutes of Health grant HL-36095-02 and the Netherlands Organization for Scientific Research (NWO), The Hague.
Identification
Copyright
© 1991 Published by Elsevier Inc.
