The advent of duplex ultrasound (DU) has changed vascular practice over the years. Venous anatomy, valve function and obstruction can be evaluated in real time using DU. It is a low cost, portable, non-invasive, safe and operator-friendly device that can be used for diagnosis, treatment guidance and follow-up. This paper defines the patterns, location and characteristics of venous reflux and also provides insightful information on acute and chronic venous obstruction.
EvansCJ, FowkesFG, RuckleyCV, LeeAJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study.J Epidemiol Community Health1999; 53: 149–53
2.
LabropoulosN, PatelPJ, TiongsonJE, PryorL, LeonLRJr, TassiopoulosAK. Patterns of venous reflux and obstruction in patients with skin damage due to chronic venous disease.Vasc Endovasc Surg2007; 41: 33–40
3.
Coleridge-SmithP, LabropoulosN, PartschH, MyersK, NicolaidesA, CavezziA. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs – UIP consensus document. Part I. Basic principles.Eur J Vasc Endovasc Surg2006; 31: 83–92
4.
LabropoulosN, GiannoukasAD, DelisK. Where does venous reflux start?J Vasc Surg1997; 26: 736–42
5.
LurieF, ComerotaA, EklofB. Multicenter assessment of venous reflux by duplex ultrasound.J Vasc Surg2012; 55: 437–45
6.
LabropoulosN, TiongsonJ, PryorL. Definition of venous reflux in lower-extremity veins.J Vasc Surg2003; 38: 793–8
7.
GloviczkiP, ComerotaAJ, DalsingMC. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum.J Vasc Surg2011; 53: 2S–48S
8.
LabropoulosN, KokkosisAA, SpentzourisG, GasparisAP, TassiopoulosAK. The distribution and significance of varicosities in the saphenous trunks.J Vasc Surg2010; 51: 96–103
9.
LabropoulosN, TassiopoulosAK, KangSS, MansourMA, LittooyFN, BakerWH. Prevalence of deep venous reflux in patients with primary superficial vein incompetence.J Vasc Surg2000; 32: 663–8
10.
PerrinMR, LabropoulosN, LeonLRJr. Presentation of the patient with recurrent varices after surgery (REVAS).J Vasc Surg2006; 43: 327–34; discussion 34
11.
van RijAM, JonesGT, HillGB, JiangP. Neovascularization and recurrent varicose veins: more histologic and ultrasound evidence.J Vasc Surg2004; 40: 296–302
12.
van RijAM, JiangP, SolomonC, ChristieRA, HillGB. Recurrence after varicose vein surgery: a prospective long-term clinical study with duplex ultrasound scanning and air plethysmography.J Vasc Surg2003; 38: 935–43
13.
De MaeseneerM, PichotO, CavezziA. Duplex ultrasound investigation of the veins of the lower limbs after treatment for varicose veins – UIP consensus document.Eur J Vasc Endovasc Surg2011; 42: 89–102
14.
GoodacreS, SampsonF, ThomasS, van BeekE, SuttonA. Systematic review and meta-analysis of the diagnostic accuracy of ultrasonography for deep vein thrombosis.BMC Med Imaging2005; 5: 6
15.
LabropoulosN, BorgeM, PierceK, PappasPJ. Criteria for defining significant central vein stenosis with duplex ultrasound.J Vasc Surg2007; 46: 101–7
16.
LabropoulosN, JenJ, JenH, GasparisAP, TassiopoulosAK. Recurrent deep vein thrombosis: long-term incidence and natural history.Ann Surg2010; 251: 749–53
