Clinical outcomes after treatment of incompetent saphenous vein combined with segmental popliteal vein reflux.

Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101607771 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2213-3348 (Electronic) Linking ISSN: 2213333X NLM ISO Abbreviation: J Vasc Surg Venous Lymphat Disord Subsets: MEDLINE

Original Publication: New York, NY : Elsevier Inc., c2013-

Saphenous Vein*/diagnostic imaging ; Saphenous Vein*/surgery ; Saphenous Vein*/physiopathology ; Venous Insufficiency*/diagnostic imaging ; Venous Insufficiency*/surgery ; Venous Insufficiency*/physiopathology ; Quality of Life* ; Popliteal Vein*/diagnostic imaging ; Popliteal Vein*/surgery ; Popliteal Vein*/physiopathology ; Varicose Veins*/diagnostic imaging ; Varicose Veins*/surgery ; Varicose Veins*/physiopathology; Humans ; Female ; Male ; Middle Aged ; Treatment Outcome ; Adult ; Retrospective Studies ; Aged ; Time Factors ; Postoperative Complications/etiology ; Ultrasonography, Doppler, Duplex ; Vascular Surgical Procedures/adverse effects

Objective: This study aimed to evaluate whether differences exist in the quality of life changes and complication rates after treatment of incompetent saphenous vein (ISV) based on the presence of segmental popliteal vein reflux (SPVR).
Methods: Patients who underwent treatment for ISV from July 2016 to July 2021 were included and divided into two groups: patients without deep venous reflux (DVR) and patients with SPVR. Patients with axial DVR, a history of deep vein thrombosis, a history of orthopedic surgery, previous venous treatment, and no postoperative follow-up were excluded from the study. Duplex ultrasound examination was performed preoperatively and at 6 and 12 months postoperatively.
Results: The study included 233 patients (398 limbs), and 50 (64 limbs) had SPVR. Differences were not observed in gender, age, body mass index, distribution of clinical class according to Clinical-Etiology-Anatomy-Physiology classification, laterality, treatment method, and preoperative Venous Clinical Severity Score or Aberdeen Varicose Vein Questionnaire scores between the two groups with SPVR or without DVR. Furthermore, the Venous Clinical Severity Score and Aberdeen Varicose Vein Questionnaire scores at 6 and 12 months postoperatively were improved in both groups, although without significant differences. A significant difference was not observed in the rate of postoperative complications between the groups based on the presence of SPVR (1.8% vs 1.6%: P = .896). The SPVR improvement rate after ISV treatment was 25% (16/64), and patient-reported outcomes in patients combined with SPVR improved independent of treatment modality, saphenous vein treatment section, and postoperative SPVR improvement.
Conclusions: Complication rates and clinical outcomes after ISV treatment did not differ in the presence of SPVR. In patients with SPVR, after ISV treatment, quality of life improved regardless of treatment modality, saphenous vein treatment section, and postoperative SPVR improvement.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)

Phlebology. 2018 Jun;33(5):321-329. (PMID: 28440727)
J Vasc Surg Venous Lymphat Disord. 2020 Mar;8(2):211-215. (PMID: 31864932)
Ann Vasc Surg. 2024 Mar;100:184-189. (PMID: 37865169)
Phlebology. 2015 Jun;30(5):350-6. (PMID: 24681524)
Phlebology. 2023 Dec;38(10):668-674. (PMID: 37644641)
Eur J Vasc Endovasc Surg. 2003 May;25(5):469-72. (PMID: 12713788)
Eur J Vasc Endovasc Surg. 2004 Jul;28(1):104-7. (PMID: 15177239)
J Mal Vasc. 2004 May;29(2):73-87. (PMID: 15229402)
Eur J Vasc Endovasc Surg. 2011 Jun;41(6):837-48. (PMID: 21454106)
J Vasc Surg. 2003 Sep;38(3):517-21. (PMID: 12947270)
J Vasc Surg. 2009 Feb;49(2):498-501. (PMID: 19216970)
J Vasc Surg. 2008 Aug;48(2):400-5; discussion 405-6. (PMID: 18644484)
J Vasc Surg. 2006 Mar;43(3):546-50. (PMID: 16520170)
J Vasc Surg. 2009 Jun;49(6):1490-8. (PMID: 19497512)
Ann Vasc Surg. 1994 Nov;8(6):566-70. (PMID: 7865395)
Ann Vasc Surg. 2023 Apr;91:182-190. (PMID: 36693564)
Br J Surg. 1998 Jun;85(6):781-4. (PMID: 9667707)
J Vasc Surg Venous Lymphat Disord. 2022 Nov;10(6):1267-1271. (PMID: 35952952)
Phlebology. 2017 Feb;32(1):55-60. (PMID: 26847377)
Korean J Thorac Cardiovasc Surg. 2018 Oct;51(5):338-343. (PMID: 30402394)
J Vasc Surg Venous Lymphat Disord. 2013 Oct;1(4):325-32. (PMID: 26992752)
Eur J Vasc Endovasc Surg. 2004 Nov;28(5):473-8. (PMID: 15465367)
J Vasc Surg. 2003 Dec;38(6):1336-41. (PMID: 14681638)
J Vasc Surg. 2004 Aug;40(2):303-10. (PMID: 15297826)
J Vasc Surg. 1994 Mar;19(3):391-403. (PMID: 8126852)
Ann Vasc Surg. 1999 May;13(3):339-42. (PMID: 10347270)
J Vasc Surg Venous Lymphat Disord. 2021 Mar;9(2):361-368.e3. (PMID: 32592853)
Ann Vasc Surg. 1996 Mar;10(2):186-9. (PMID: 8733872)
J Vasc Surg. 1988 Feb;7(2):301-10. (PMID: 2963146)
J Vasc Surg Venous Lymphat Disord. 2023 Mar;11(2):231-261.e6. (PMID: 36326210)

Keywords: Duplex ultrasound examination; Popliteal vein; Saphenous vein

Date Created: 20240529 Date Completed: 20241017 Latest Revision: 20241101

20241101

PMC11523308

10.1016/j.jvsv.2024.101918

38810693