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© 2007 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 26:163-167 • 0278-4297

Short Saphenous Vein Incompetence and Chronic Lower Extremity Venous Disease

Aydin Kurt, MD, Ugur Levent Ünlü, MD, Ali Ipek, MD, Özgür Tosun, MD, Mehmet Gümüs, MD, Elçin Zan, MD, Gülçin Dilmen, MD and Ismet Tas, MD

Department of Radiology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey.

Address correspondence to Aydin Kurt, MD, Department of Radiology, Ankara Atatürk Education and Research Hospital, Eskisehir Yolu 8 km, No. 3 Bilkent, 06800 Ankara, Turkey. E-mail: aydinwf{at}yahoo.com

Objective. We performed this prospective study on patients with signs and symptoms of chronic venous disease to emphasize short saphenous vein (SSV) insufficiency, which is not routinely evaluated with Doppler ultrasonography in every center. Methods. One hundred seventy-eight patients with signs and symptoms of chronic venous disease were included in the study. We used the CEAP (clinical, etiologic, anatomic, and pathophysiologic data) classification in evaluation of the limbs with isolated and nonisolated SSV incompetence. Patients were classified according to age, occupation, body mass index, and associated chronic illness. A {chi}2 test and a t test were used in the statistical analysis. Results. Reflux was observed in 190 (53%) of 356 limbs. In 11 limbs, isolated SSV reflux was observed. These 11 limbs were classified as CEAP grade 2 (3 limbs), CEAP grade 3 (3 limbs), and CEAP grade 4 (5 limbs). Short saphenous vein reflux was observed in 21 (5.9%) of 356 limbs. Mean SSV diameters were 3.89 mm (range, 1–11 mm) on the right and 4.03 mm (1.3–10 mm) on the left. Conclusions. No statistical significance was found between age, sex, body mass index, occupation, and associated chronic disease and deep or superficial venous system incompetence. A statistically significant difference was found between the SSV diameter of the limbs and associated venous incompetence.

Key Words: Doppler sonography • incompetence • saphenous vein • venous

Abbreviations: BMI, body mass index • CEAP, clinical, etiologic, anatomic, and pathophysiologic data • CVD, chronic venous disease • DM, diabetes mellitus • DVS, deep venous system • GSV, great saphenous vein • Hpt, hypertension • SSV, short saphenous vein • SSVI, short saphenous vein insufficiency • SVS, superficial venous system

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Copyright © 2007 by the American Institute of Ultrasound in Medicine.