Patterns of saphenous venous reflux in @entity1 presenting with XXXX .

@entity1 @entity340 @entity8721 @entity12432
BACKGROUND: @entity8721 have been treated with sclerotherapy without concomitant assessment or treatment of saphenous veins. OBJECTIVE: To clarify if ultrasound (US) mapping of saphenous veins is justifiable, this investigation determined prevalence of specific patterns of saphenous vein reflux in @entity1 with @entity8721 . METHODS: US mapping of the great and small saphenous veins (GSV, @entity12432 ) was performed in 1,740 extremities of 910 consecutive @entity1 , mostly @entity1 (86%). A subgroup of 269 limbs of @entity1 with @entity8721 (CEAP C1 class) was included in this study. Patterns of GSV and @entity12432 reflux were classified as perijunctional, proximal, distal, segmental, multisegmental, and diffuse. RESULTS: Reflux was detected in 125 extremities (46%): 5% had reflux in both the GSV and the @entity12432 , 39% had GSV reflux, and 2% had @entity12432 reflux. The most common pattern of GSV reflux was segmental (73%, 87/119). Prevalence of reflux was significantly greater in GSV versus @entity12432 (p < .001). GSV segmental plus distal reflux (40%, 108/269) was significantly more prevalent than saphenofemoral junction or near junction reflux (4%, 11/269; p < .001). CONCLUSIONS: US mapping of the GSV in @entity1 with @entity8721 is justifiable, even in asymptomatic extremities. Further research will determine if segmental reflux should be treated to avoid evolution to severe @entity340 .
