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Lishov D.E.

Boyko L.V.

Zolotukhin I.A.

Pirogov Russian National Research Medical University

Ilyukhin E.A.

Surgical clinic Medalp

Katorkin S.E.

Samara State Medical University

Berezko M.P.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Aydaev S.S.

Vinogradov R.A.

Research Institute — Ochapovsky Regional Clinical Hospital No.1;
Kuban State Medical University

Guzhkov O.N.

Yaroslavl State Medical University

Efremova O.I.

Pirogov Russian National Research Medical University

Ivanov E.V.

Tyumen State Medical University

Ivanov O.O.

Novokuznetsk State Institute for Advanced Training of Physicians — Branch of the Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Kurginyan Kh.M.

National Medical Research Center for Therapy and Preventive Medicine

Mazayshvili K.V.

Surgut State University

Mzhavanadze N.D.

Pavlov Ryazan State Medical University

Petrikov A.S.

Altai State Medical University;
Diagnostic Center of Altai Territory

Porembskaya O.Ya.

Mechnikov North-Western State Medical University;
Institute of Experimental Medicine

Seliverstov E.I.

Pirogov Russian National Research Medical University

Slavin D.A.

Kazan State Medical Academy — Branch Russian Medical Academy of Continuing Professional Education

Smirnov A.A.

National Medical Research Center for Therapy and Preventive Medicine

Suchkov I.A.

Ryazan State Medical University

Khodkevich M.B.

Tsaturyan A.B.

Chabbarov R.G.

«Omega Clinic» LLC

Shimanko A.I.

Evdokimov Moscow State University of Medicine and Dentistry

Shonov O.A.

Surgical clinic Medalp

Stoyko Yu.M.

N.I. Pirogov National Medical and Surgical Center

Kirienko A.I.

Pirogov Russian National Research Medical University

Duplex Ultrasound of Lower Limbs Venous System. Russian Phlebology Association Expert Panel Report

Authors:

Lishov D.E., Boyko L.V., Zolotukhin I.A., Ilyukhin E.A., Katorkin S.E., Berezko M.P., Aydaev S.S., Vinogradov R.A., Guzhkov O.N., Efremova O.I., Ivanov E.V., Ivanov O.O., Kurginyan Kh.M., Mazayshvili K.V., Mzhavanadze N.D., Petrikov A.S., Porembskaya O.Ya., Seliverstov E.I., Slavin D.A., Smirnov A.A., Suchkov I.A., Khodkevich M.B., Tsaturyan A.B., Chabbarov R.G., Shimanko A.I., Shonov O.A., Stoyko Yu.M., Kirienko A.I.

More about the authors

Journal: Journal of Venous Disorders. 2021;15(4): 318‑340

Read: 104491 times


To cite this article:

Lishov DE, Boyko LV, Zolotukhin IA, et al. . Duplex Ultrasound of Lower Limbs Venous System. Russian Phlebology Association Expert Panel Report. Journal of Venous Disorders. 2021;15(4):318‑340. (In Russ.)
https://doi.org/10.17116/flebo202115041318

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References:

  1. Caggiati A, Bergan JJ, Gloviczki P, Jantet G, Wendell-Smith CP, Partsch H; International Interdisciplinary Consensus Committee on Venous Anatomical Terminology. Nomenclature of the veins of the lower limbs: an international interdisciplinary consensus statement. J Vasc Surg. 2002;36(2):416-422.  https://doi.org/10.1067/mva.2002.125847
  2. Coleridge-Smith P, Labropoulos N, Partsch H, Myers K, Nicolaides A, Cavezzi A. 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 Surg. 2006;31(1):83-92.  https://doi.org/10.1016/j.ejvs.2005.07.019
  3. Cavezzi A, Labropoulos N, Partsch H, Ricci S, Caggiati A, Myers K, Nicolaides A, Smith P. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs — UIP consensus document. Part II. Anatomy. Eur J Vasc Endovasc Surg. 2006;31(3):288-299.  https://doi.org/10.1016/j.ejvs.2005.07.020
  4. Caggiati A, Bergan JJ, Gloviczki P, et al. Nomenclature of the veins of the lower limb: extensions, refinements, and clinical application. J Vasc Surg. 2005;41(4):719-724.  https://doi.org/10.1016/j.jvs.2005.01.018
  5. Zamboni P, Cappelli M, Marcellino MG, Murgia AP, Pisano L, Fabi P. Does a Varicose Saphenous Vein Exist? Phlebology. 1997;12(2):74-77.  https://doi.org/10.1177%2F026835559701200207
  6. Zamboni P, Portaluppi F, Marcellino MG, Manfredini R, Pisano L, Liboni A. Ultrasonographic assessment of ambulatory venous pressure in superficial venous incompetence. J Vasc Surg. 1997;26(5):796-802.  https://doi.org/10.1016/s0741-5214(97)70092-2
  7. Lee BB, Nicolaides AN, Myers K, Meissner M, Kalodiki E, Allegra C, Antignani PL, Bækgaard N, Beach K, Belcaro G, Black S, Blomgren L, Bouskela E, Cappelli M, Caprini J, Carpentier P, Cavezzi A, Chastanet S, Christenson JT, Christopoulos D, Clarke H, Davies A, Demaeseneer M, Eklöf B, Ermini S, Fernández F, Franceschi C, Gasparis A, Geroulakos G, Gianesini S, Giannoukas A, Gloviczki P, Huang Y, Ibegbuna V, Kakkos SK, Kistner R, Kölbel T, Kurstjens RL, Labropoulos N, Laredo J, Lattimer CR, Lugli M, Lurie F, Maleti O, Markovic J, Mendoza E, Monedero JL, Moneta G, Moore H, Morrison N, Mosti G, Nelzén O, Obermayer A, Ogawa T, Parsi K, Partsch H, Passariello F, Perrin ML, Pittaluga P, Raju S, Ricci S, Rosales A, Scuderi A, Slagsvold CE, Thurin A, Urbanek T, M VAN Rij A, Vasquez M, Wittens CH, Zamboni P, Zimmet S, Ezpeleta SZ. Venous hemodynamic changes in lower limb venous disease: the UIP consensus according to scientific evidence. Int Angiol. 2016;35(3):236-352. Accessed October 16, 2021. https://www.minervamedica.it/en/journals/international-angiology/article.php?cod=R34Y2016N03A0236
  8. Meissner MH. Lower extremity venous anatomy. Semin Intervent Radiol. 2005;22(3):147-156.  https://doi.org/10.1055/s-2005-921948
  9. Ricci S, Cavezzi A. Echo-anatomy of long saphenous vein in the knee region: proposal for a classification in five anatomical patterns. Phlebology. 2002;16:111-116.  https://doi.org/10.1177/026835550201600306
  10. Caggiati A, Ricci S. The Long Saphenous Vein Compartment. Phlebology. 1997;12(3):107-111.  https://doi.org/10.1177/026835559701200307
  11. Ricci S, Caggiati A. Does a Double Long Saphenous Vein Exist? Phlebology. 1999;14(2):59-64.  https://doi.org/10.1177/026835559901400205
  12. Mühlberger D, Morandini L, Brenner E. Venous valves and major superficial tributary veins near the saphenofemoral junction. J Vasc Surg. 2009;49(6):1562-1569. https://doi.org/10.1016/j.jvs.2009.02.241
  13. Dickson R, Hill G, Thomson IA, van Rij AM. The valves and tributary veins of the saphenofemoral junction: ultrasound findings in normal limbs. Veins and Lymphatics. 2013;2(e18):63-67.  https://doi.org/10.4081/vl.2013.e18
  14. Zolotukhin IA, Bogachev VYu, Kiriyenko AI. Ultrazvukovaya anatomiya maloj podkozhnoj veny. Angiologiya i sosudistaya khirurgiya. 2007;13(4):41-45. (In Russ.).
  15. Hoffman HM, Staubesand J. Die venosen Abflussverhaeltnisse der Musculus Triceps surae. Phlebologie. 1991;20:164-168. (In German).
  16. Caggiati A. Fascial relationships of the short saphenous vein. J Vasc Surg. 2001;34(2):241-246.  https://doi.org/10.1067/mva.2001.116972
  17. Georgiev M. The femoropopliteal vein. Ultrasound anatomy, diagnosis, and office surgery. Dermatol Surg. 1996;22(1):57-62.  https://doi.org/10.1111/j.1524-4725.1996.tb00572.x
  18. Georgiev M, Myers KA, Belcaro G. The thigh extension of the lesser saphenous vein: from Giacomini’s observations to ultrasound scan imaging. J Vasc Surg. 2003;37(3):558-563.  https://doi.org/10.1067/mva.2003.77
  19. Labropoulos N, Giannoukas AD, Delis K, Kang SS, Mansour MA, Buckman J, Katsamouris A, Nicolaides AN, Littooy FN, Baker WH. The impact of isolated lesser saphenous vein system incompetence on clinical signs and symptoms of chronic venous disease. J Vasc Surg. 2000;32(5):954-960.  https://doi.org/10.1067/mva.2000.110349
  20. Schweighofer G, Mühlberger D, Brenner E. The anatomy of the small saphenous vein: fascial and neural relations, saphenofemoral junction, and valves. J Vasc Surg. 2010;51(4):982-989.  https://doi.org/10.1016/j.jvs.2009.08.094
  21. Gillot C. Le prolongement post-axial de la petite veine saphène: Étude anatomique — considérations fonctionnelles intérêt pathologique Société Française de Phlébologie. Communications libres. 2000;53(3):295-325. 
  22. Dodd H. Persistent varicose veins with special reference to the varicose tributaries of the superficial femoral and popliteal veins. Proc R Soc Med. 1958;51(10):817-820. Accessed October 16, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc1889832/
  23. Dodd H. The Varicose Tributaries of the Popliteal Vein. Proc R Soc Med. 1964;57(5):394-396. Accessed October 16, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc1897970
  24. Franceschi C, Zamboni P. Principles of venous haemodynamics. New York: Nova Science; 2010.
  25. Van Limborgh J. L’anatomie du systeme veineux de l’extremite inferieure en relation avec la pathologie variqueuse. Folia Angiol. 1961;8:240-257. (In French).
  26. Kostromov IA. Kommunikatsionnye veny nizhnikh konechnostej i ikh znachenie v patogeneze varikoznoj bolezni. Vrachebnoe delo. 1951;1:33-38. (In Russ.).
  27. Van Limborgh J, Hage EW. Anatomical features of those perforating veins of the leg which frequently or infrequently become incompetent. In: May R, Partsch H, Staubesand J. Perforating veins. Munchen: Urban & Schwarzenberg; 1981.
  28. Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, Gloviczki ML, Lohr JM, McLafferty RB, Meissner MH, Murad MH, Padberg FT, Pappas PJ, Passman MA, Raffetto JD, Vasquez MA, Wakefield TW; Society for Vascular Surgery; American Venous Forum. 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 Surg. 2011;53(5 Suppl):2-48.  https://doi.org/10.1016/j.jvs.2011.01.079
  29. Churikov DA, Kirienko AI. Ul’trazvukovaya diagnostika boleznej ven. 2-e izd. M.: LitTerra; 2016. (In Russ.).
  30. Vasiliev AYu, Postnova NA, Dibirov MD, Shimanko AI. Rukovodstvo po ul’trazvukovoj flebologii. M.: MIA; 2007. (In Russ.).
  31. Rastegar R, Harnick DJ, Weidemann P, Fuster V, Coller B, Badimon JJ, Chesebro J, Goldman ME. Spontaneous echo contrast videodensity is flow-related and is dependent on the relative concentrations of fibrinogen and red blood cells. J Am Coll Cardiol. 2003;41(4):603-610.  https://doi.org/10.1016/s0735-1097(02)02898-x
  32. Sidawy A, Perler B. Rutherford’s Vascular Surgery and Endovascular Therapy. 9th Edition. Elsevier; 2018.
  33. Kupinski AM. The Vascular System. Wolters Kluwer/Lippincott Williams & Wilkins; 2013.
  34. Labropoulos N, Tiongson J, Pryor L, Tassiopoulos AK, Kang SS, Ashraf Mansour M, Baker WH. Definition of venous reflux in lower-extremity veins. J Vasc Surg. 2003;38(4):793-798.  https://doi.org/10.1016/s0741-5214(03)00424-5
  35. Lurie F, Comerota A, Eklof B, Kistner RL, Labropoulos N, Lohr J, Marston W, Meissner M, Moneta G, Neglén P, Neuhardt D, Padberg F Jr, Welsh HJ. Multicenter assessment of venous reflux by duplex ultrasound. J Vasc Surg. 2012;55(2):437-445.  https://doi.org/10.1016/j.jvs.2011.06.121
  36. Mendoza E, Berger HA. Provokationsmanöver für die duplex-sonographische Diagnostik der Varikosis. Gefässchirurgie. 2001;6:43-46. (In German). https://doi.org/10.1007/s007720000116
  37. Sarin S, Sommerville K, Farrah J, Scurr JH, Coleridge Smith PD. Duplex ultrasonography for assessment of venous valvular function of the lower limb. Br J Surg. 1994;81(11):1591-1595. https://doi.org/10.1002/bjs.1800811108
  38. Nicolaides A, Kakkos S, Baekgaard N, Comerota A, de Maeseneer M, Eklof B, Giannoukas AD, Lugli M, Maleti O, Myers K, Nelzén O, Partsch H, Perrin M. Management of chronic venous disorders of the lower limbs. Guidelines According to Scientific Evidence. Part I. Int Angiol. 2018;37(3):181-254.  https://doi.org/10.23736/s0392-9590.18.03999-8
  39. Mendoza E, Lattimer CR, Morrison N. Duplex ultrasound of superficial leg veins. New York: Springer; 2014.
  40. Zoloktukhin IA, Bogachev VYu, Keznetsov AN, Kirienko AI. Nedostatochnost’ perforantnykh ven goleni: kriterii i chastota vyyavleniya. Flebologiya. 2008;2(1):21-26. (In Russ.).
  41. Jeanneret C, Labs KH, Aschwanden M, Bollinger A, Hoffmann U, Jäger K. Physiological reflux and venous diameter change in the proximal lower limb veins during a standardised Valsalva manoeuvre. Eur J Vasc Endovasc Surg. 1999;17(5):398-403.  https://doi.org/10.1053/ejvs.1998.0797
  42. Ricci S, Moro L, Minotti GC, Incalzi RA, De Maeseneer M. Valsalva maneuver in phlebologic practice. Phlebology. 2018;33(2):75-83.  https://doi.org/10.1177/0268355516678513
  43. Lattimer CR, Kalodiki E, Azzam M, Geroulakos G. Volume displacements from an incompetent great saphenous vein during a standardised Valsalva manoeuvre. Acta Phlebologica. 2012;13(1):25-30. Accessed October 16, 2021. https://www.minervamedica.it/en/journals/acta-phlebologica/article.php?cod=R43Y2012N01A0025
  44. Franceschi C. Mesures et interpretation des flux veineux lors des manoevres de stimulation. Compressions manuelles et manoeuvre de Paranà. Indice dynamique de reflux (IDR) et indice de Psatakis. J Mal Vasc. 1997;22:91-95. (In French).
  45. Zamboni P, Mendoza E, Gianesini S. Saphenous Vein-Sparing Strategies in Chronic Venous Disease. Berlin: Springer; 2018.
  46. Cappelli M, Ermini S, Turchi A, Bono G. Consideration hemodinamique sur les perforantes. Phlebologie. 1994;47(4):389-393. (In French).
  47. Bjordal RI. Circulation patterns in incompetent perforating veins in the calf and in the saphenous system in primary varicose veins. Acta Chir Scand. 1972;138(3):251-261. 
  48. Stuart WP, Adam DJ, Allan PL, Ruckley CV, Bradbury AW. Saphenous surgery does not correct perforator incompetence in the presence of deep venous reflux. J Vasc Surg. 1998;28(5):834-838.  https://doi.org/10.1016/s0741-5214(98)70058-8
  49. Parks T, Lamka C, Nordestgaard AG. Changes in Perforator vein Reflux after saphenous Ablation. J Vasc Ultrasound. 2008;32(3):141-144.  https://doi.org/10.1177%2F154431670803200305
  50. Sandri JL, Barros FS, Pontes S, Jacques C, Salles-Cunha SX. Diameter-reflux relationship in perforating veins of patients with varicose veins. J Vasc Surg. 1999;30(5):867-874.  https://doi.org/10.1016/s0741-5214(99)70011-x
  51. Yamamoto N, Unno N, Mitsuoka H, Saito T, Miki K, Ishimaru K, Kaneko H, Nakamura S. Preoperative and intraoperative evaluation of diameter-reflux relationship of calf perforating veins in patients with primary varicose vein. J Vasc Surg. 2002;36(6):1225-1230. https://doi.org/10.1067/mva.2002.128941
  52. Prikaz Ministerstva zdravookhraneniya RF ot 8 iyunya 2020 g. №557n «Ob utverzhdenii Pravil provedeniya ultrazvukovykh issledovanij». (In Russ.). https://publication.pravo.gov.ru/Document/View/0001202009150040
  53. De Maeseneer MG. The role of postoperative neovascularisation in recurrence of varicose veins: from historical background to today’s evidence. Acta Chir Belg. 2004;104(3):283-289.  https://doi.org/10.1080/00015458.2004.11679555
  54. Van Rij AM, Jones GT, Hill GB, Jiang P. Neovascularization and recurrent varicose veins: more histologic and ultrasound evidence. J Vasc Surg. 2004;40(2):296-302.  https://doi.org/10.1016/j.jvs.2004.04.031
  55. Corbett CR, Prakash V. Neovascularisation is not an innocent bystander in recurrence after great saphenous vein surgery. Ann R Coll Surg Engl. 2015;97(2):102-108.  https://doi.org/10.1308/003588414x14055925061199
  56. Herman J, Musil D, Tichy M, Bachleda P. Recurrent varicose veins: causes and neovascularisation. A 17-year experience. Int Angiol. 2015;34(1):53-59. Accessed October 16, 2021. https://www.minervamedica.it/en/journals/international-angiology/article.php?cod=R34Y2015N01A0053

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