[Simultaneous echographic and endoscopic examination of morphologic anomalies of the valves of the internal saphenous vein].
We attempted to determine whether the duplex-scan of valves is sufficiently specific and sensitive. We also studied morphological anomalies identified endoscopically leading to the pretherapeutic classification (VCT) to determine whether they are recognized by sonography. Finally, we studied valve kinetics to search for a correlation between morphological anomalies and changes in valve kinetics. We performed an endoscopy of the long saphenous vein during 3S procedures (saphenous vein-section-sclerosis) and a simultaneous duplex scan. The probe was positioned ahead of the endoscope which could visualize its tip. B mode and TM mode were used to evaluate valve kinetics. There was a satisfactory correlation between the ultrasonic findings and the endoluminal aspect. Certain abnormalities, visualized sonographically but of imprecise etiology, were identified endoscopically. The results of the two endoscopic and sonographic examinations were compared with clinical experience with valve diseases.
Chleir
F
F
Unité de phlébologie, Hôpital Notre Dame de Bon Secours, Paris.
Van Cleef
J F
JF
D000368:Aged; D017546:Angioscopy; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000000981:diagnostic imaging* / Q000473:pathology; D012680:Sensitivity and Specificity; D018616:Ultrasonography, Doppler, Duplex; D014689:Venous Insufficiency / Q000000981:diagnostic imaging* / Q000473:pathology