Related Articles

  • Review ArticleDecember 31, 2023

    0 120 170

    What are the Standard Recommendations for Ultrasound Documentation of Varicose Veins? - The 2023 Korean Society for Phlebology Clinical Practice Guidelines

    Seung Chul Lee, M.D., Tae Sik Kim, M.D., Sangchul Yun, M.D., Wooshik Kim, M.D., Heangjin Ohe, M.D., Sang Seob Yun, M.D. and Sung Ho Lee, M.D.

    Ann Phlebology 2023; 21(2): 70-73
    In diagnosing varicose veins, accurate ultrasound examinations and meticulous recording of findings are crucial, as they play a significant role in determining treatment methods. Therefore, the Korean Society of Phlebology, in collaboration with related societies, has developed guidelines for the ultrasound diagnosis of varicose veins, including standard recommendations for documenting examination records. After examining varicose veins, it is mandatory to record in writing the name of the blood vessel that was measured. For penetrating veins, it is also necessary to precisely record both the size and location. Additionally, during a provocation test involving compression, the augmented waveform and the regurgitation waveform must be documented so that they are distinctly visible in opposite directions around the baseline. Lastly, the reflux time should be specified in seconds or milliseconds.
  • Review ArticleJune 30, 2024

    0 58 20

    Management of Pelvic Vein Disorders

    Young Jun Park, M.D., Ph.D.

    Ann Phlebology 2024; 22(1): 1-5
    Pelvic vein disorder (PeVD) encompasses symptoms originating from the pelvic veins. It significantly impacts quality of life despite not always being life-threatening, necessitating accurate diagnosis and effective management. PeVD may result from pelvic vein incompetence (PVI), or conditions like left common iliac vein compression or Nutcracker syndrome can contribute to PeVD. Chronic pelvic pain, lasting over six months, is a common symptom, affecting various aspects of health and often linked to lower urinary tract, sexual function, and gynecological issues. Diagnosis involves ultrasound, computed tomography, magnetic resonance venography, and catheter venography. Transvaginal or abdominal ultrasound can identify enlarged veins and reflux, while catheter venography is the gold standard for diagnosing PVI. Treatment options include medical and endovascular treatments. Medications like micronized purified flavonoid fraction, medroxyprogesterone acetate, and goserelin acetate offer symptom relief, though effects are temporary. Endovascular treatment provides favorable outcomes, with coil embolization being effective.
  • Original ArticleJune 30, 2024

    0 47 17

    Impact of the Variations in the Termination of Small Saphenous Vein on Small Saphenous Vein Incompetence

    Arif Selcuk, M.D., Alper Ucak, M.D.

    Ann Phlebology 2024; 22(1): 14-19
    Objective To determine whether variations in the termination of the small saphenous vein predict small saphenous vein incompetence.
    Methods We conducted a prospective observational study, evaluating 133 patients diagnosed with either an isolated small saphenous vein incompetence (study group, n=47) or an isolated great saphenous vein incompetence (control group, n=86) between December 2014 and June 2015. The variations in the termination of the small saphenous vein were assessed using color Doppler ultrasound and classified according to the modified Kosinski’s classification. Data were compared between two groups.
    Results Type 1 variation was more common (41/47, 87%) in patients with small saphenous vein incompetence compared to those with isolated great saphenous vein incompetence (54/86, 63%). No patients had Type 3 variation. Although not statistically significant, small saphenous vein incompetence was less common in patients with type 2 variation in the termination of small saphenous vein (16% vs. 43%; p=0.055).
    Conclusion While awareness of small saphenous vein termination variations cannot predict saphenous vein incompetence, since we encounter these variations frequently, it is important to determine the type of variation before surgical treatment in order to prevent recurrence.
Vol.22 No.1 Jun 30, 2024, pp. 1~38

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