ISSN 1308-8734 | E-ISSN 1308-8742
1 Department of Radiology, Health Sciences University Training and Research Hospital, Konya, Turkey  
Eurasian J Med ; : -



Objective: The aim of this study was to reveal the frequency and impact of perforating venous insufficiency (PVI) in chronic venous insufficiency (CVI) of lower extremity (LE).


Methods: Between 2012 to 2017, a total of 1154 patients (781 female (67.68%), 373 male (32.32%), 228 (19.76%) were unilateral, 926 (80.24%) were bilateral LE), 2080 LEs (31.4% male (n=653) and 68.6% (n=1427) female, 1056 (50.77%) left LEs and 1024 (49.23%) right LEs) were examined using Doppler ultrasound (US). All patients had symptoms of venous insufficiency (VI).


Results: PVI was revealed in 27.5% (n=571) of LEs. Varicose veins (VVs) related with perforating vein (PV) was revealed 44.7% of LEs (n=929). PVI was observed in 50.91% of patients with chronic deep venous thrombosis (DVT), 64.41% of patients with deep venous insufficiency (DVI), 59.81% of patients with great saphenous vein (GSV) insufficiency,  68.49% of patients with small saphenous vein (SSV) insufficiency, 58.65% of patients with accessory GSV insufficiency, and 58.77% of patients with PV associated with VVs, PVI was observed. There was a statistically significant relationship between PVI and chronic DVT,  DVI, and GSV, SSV, and accessory GSV insufficiency (p˂0.001). A significant relationship was observed between the increase in PV diameter and the presence of the PVI (p<0.001).


Conclusion: PVI is quite common in combined VI and PV evaluation should be part of LE venous systems examination.

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