[Condition of the proximal portion of the XXXX in varicophlebitis of the great saphenous vein.]

@entity1 @entity715 @entity3527 @entity2688
AIM: To assess the state of the proximal portion of a @entity715 of the great saphenous vein (GSV) in @entity1 with varicophlebitis by means of duplex scanning of veins. MATERIAL AND METHODS: We examined a total of 40 @entity1 with acute varicophlebitis of the GSV: 11 (27.5%) @entity1 and 29 (72.5%) @entity1 , the @entity1 ' average age amounted to 53.5 years (range 29-78). Duplex scanning (DS) was used to determine: localization and extent of @entity715 , the presence of a free portion, density and configuration of the contour of the proximal portion of the @entity715 , proximal level of the inflammatory wall and paravasal fat. RESULTS AND DISCUSSION: Inflammation was located on the crus in 12 (30%) @entity1 , on the femur in 10 (25%), on the crus and femur in 18 (45%) @entity1 . According to the findings of DS, of 28 (70%) @entity1 with femoral inflammation the upper end of the @entity715 was located in the lower third of the femur in 9 (22.5%) @entity1 , in the middle third in 11 (27.5%) @entity1 and in 8 (20%) @entity1 in the upper third. In 29 (72.5%) @entity1 the @entity715 had no free part, eleven (27.5%) were found to have a floating portion 1.0-10 cm long (averagely 3.58 cm). The incidence of floating thrombi is determined by the diameter of the thrombosed vessel: in femoral localization the floating part was in 9 (22.5%) @entity1 , in crural localization - in 2 (5%). A distinct edge of the proximal contour was present in 30 (75%) @entity1 , diffuse contour in 10 (25%). In 8 (20%) @entity1 the proximal portion of the @entity715 by density did not differ from the @entity1 ' body. In 3 (7.5%) @entity1 it approximated to density of blood. In the majority of cases (60%) the proximal portion was of cellular character with alternation of portions of various density. Thickness of the altered paravasal fat amounted to 7-20 mm (averagely 8.68 mm). The boarder of the @entity715 in 56 (90%) @entity1 located proximal to inflammation of the wall and paravasal fat by 4.0-60.0 cm (averagely 6.0 cm). This demonstrates that clinical symptoms induce @entity3527 and @entity2688 . CONCLUSION: Detailed examination of the proximal portion of the @entity715 in @entity1 with varicophlebitis of the GSV by means of DS makes it possible to accurately evaluate its condition: assessment of density and configuration provides a more detailed characterisation of the degree of maturity of the proximal portion of the @entity715 . @entity715 density comparable with density of liquid blood in combination with its extended free portion may increase the risk of @entity715 migration.
