Article

The reproducibility of the ratio of volume flow in the common femoral vein and artery for quantification of the severity of venous insufficiency.

Division of Phlebology, Dermatological Medical Center, University of Heidelberg, Germany.
VASA.: Zeitschrift für Gefässkrankheiten. Journal for vascular diseases (impact factor: 1.31). 12/2003; 32(4):199-203. pp.199-203
Source: PubMed

ABSTRACT The ratio of volume flow in the common femoral vein and artery denoted as venous-arterial Flowindex (VAFI) is significantly increased in venous insufficiency according the clinical grade of the disease. This study was done to investigate the reliability and reproducibility of VAFI as quantitative pattern.
In 43 patients with varicose veins C4-6 EPAS,D,PPR (PVV), 40 with postthrombotic syndrome C4-6 ESAS,D,PPR,O (PTS) and 48 healthy volunteers volume flow in the common femoral vein (VFV) and artery (VFA) were measured by duplex. Division of VFV by VFA calculated VAFI. VAFI-measurement was repeated 5 times at an interval of ten minutes in 63 subjects (23 PVV, 20 PTS, 20 healthy) and it was performed at three different days in 68 subjects (20 PVV, 20 PTS, 28 healthy).
Mean VAFI +/- standard deviation was 1.39 +/- 0.26 in PVV, 1.42 +/- 0.26 in PTS and 0.93 +/- 0.13 in healthy veins (p < 0.001). VAFI remained stable and significantly increased (p < 0.001) in PVV and PTS compared to healthy veins during 40 minutes and also within three different days.
The venous-arterial flowindex VAFI is a reproducible pattern of the hemodynamic severity in venous insufficiency.

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    Birgit Kahle, Katharina Leng
    [show abstract] [hide abstract]
    ABSTRACT: The objective of this study was to investigate the efficacy of sclerotherapy for varicose veins in a randomized blinded study. Twenty-five patients with varicose veins (C(2-4), E(P), A(SP), P(R)) were included. Fourteen subjects received polidocanol (Aethoxysklerol) and 11 patients received normal saline injections. Compression was applied for 1 week. One, 4, and 12 weeks later controls were performed using duplex ultrasonography. The quotient of venous by arterial volume flow was used as quantitative hemodynamic pattern. Patients and the examiner were unaware of which liquid had been injected. In comparison to group 2, 76.8% of the veins treated with polidocanol were completely occluded (p<0.0001). In group 1 the venoarterial flow index decreased from 1.45+/-0.66 to 1.06+/-0.2 (p=0.05). In 11 occluded veins of 14 (group 1), the venoarterial flow index decreased from 1.5+/-0.07 to 0.98+/-0.12 (p<0.05), which is a level found in competent veins. In group 2, the venoarterial flow index remained stable increased. Injection sclerotherapy using polidocanol (Aethoxysklerol) is efficient to obliterate varicose veins and to improve venous hemodynamics.
    Dermatologic Surgery 06/2004; 30(5):723-8; discussion 728. · 1.80 Impact Factor
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Keywords

20 healthy
 
28 healthy
 
40 minutes
 
43 patients
 
48 healthy volunteers volume flow
 
5 times
 
63 subjects
 
68 subjects
 
artery denoted
 
clinical grade
 
common femoral vein
 
different days
 
healthy veins
 
hemodynamic severity
 
Mean VAFI +/- standard deviation
 
quantitative pattern
 
reproducible pattern
 
venous-arterial Flowindex
 
venous-arterial flowindex VAFI
 
volume flow