Relationship Between Clinical Findings and Vena Saphena Magna Diameter and Insufficiency at Cruris
Halime Cevik Cenkeri1, Sadik Ahmet Uyanik1, Eray Atli1, Umut Oguslu11Departments of Radiology, Okan University Faculty of Medicine, Istanbul, Turkey
Objectives: The aim of our study is to investigate the relationship between the severity of VSM (vena saphena magna) insufficiency, diameter, and clinical findings, especially at cruris. Methods: Our study was performed between November 2016 and May 2020, retrospectively with 194 low extremities. VSM diameter measurement and reflux were evaluated at three levels during the examination with Colour Doppler Ultrasonography (CDUS), sapheno-femoral junction(SFJ), midfemoral segment and proximal to the cruris, standing and lying. The patients without venous insufficiency constitute the control group. Results: The mean VSM diameter is 5.51mm in SFJ, 4.08mm in the thigh and 3.47mm in the cruris. The increase in VSM diameters was statistically significant(p<0.01) at all of the three levels, compared to control group(p<0.01). The VSM diameter difference was found to be high in the group with insufficiency in lying position examination especially in the SFJ and thigh level (p<0.01). The VSM diameter in the cruris is low but significant(p<0.05). Correlation between SFJ and cruris is present between diameter increase differences and clinical findings at all of levels. Therefore, in those patients in whom diameter in SFJ, cruris localizations increased in standing position, skin lesions are more frequent (p<0.01). Conclusion: Clinical findings correlate with VSM insufficiency and diameters. The skin lesions correlate with the diameter increase during evaluation in standing position. Diameter change is greater in the SFJ and thigh than significant change at cruris. Finally, the VSM diameter increase in cruris correlates more with skin lesions. Keywords: Cruris, doppler, diameter, Vena Saphena Magna
Cite This Article
Cenkeri H, Uyanik S, Atli E, Oguslu U. Relationship Between Clinical Findings and Vena Saphena Magna Diameter and Insufficiency at Cruris. EJMI. 2020; 4(4): 477-482
Corresponding Author: Halime Cevik Cenkeri