Advertisement

Hemodynamic Aspects of Chronic Venous Disease

  • Seshadri Raju
Chapter

Abstract

The hemodynamics of chronic venous disease differs significantly from arterial insufficiency. Often, arterial concepts are inappropriately applied to venous pathology. In some instances, such as, for example, saphenous reflux, applicable hemodynamics is unique and has no parallel in arterial practice. In this chapter, we focus on four areas of chronic venous disease: (1) quantifying saphenous reflux, (2) defining critical venous stenosis, (3) grading severity of iliac vein stenosis (“area method”), and (4) hemodynamics of venous collaterals and venous bypass.

References

  1. 1.
    Gloviczki P, Gloviczki ML. Guidelines for the management of varicose veins. Phlebology. 2012;27(Suppl 1):2–9.CrossRefGoogle Scholar
  2. 2.
    Raju SWJM, Jones T. Quantifying saphenous reflux. J Vasc Surg. 2015;3:8–17.PubMedGoogle Scholar
  3. 3.
    Navarro TP, Delis KT, Ribeiro AP. Clinical and hemodynamic significance of the greater saphenous vein diameter in chronic venous insufficiency. Arch Surg. 2002;137(11):1233–7.CrossRefGoogle Scholar
  4. 4.
    Pascarella L, Schonbein GW, Bergan JJ. Microcirculation and venous ulcers: a review. Ann Vasc Surg. 2005;19(6):921–7.CrossRefGoogle Scholar
  5. 5.
    Raju S, Kirk O, Davis M, Olivier J. Hemodynamics of ‘critical’ venous stenosis and stent treatment. J Vasc Surg. 2013;1:1–8.Google Scholar
  6. 6.
    Hall JE. Guyton and hall textbook of medical physiology. 13th ed. Philadelphia: Elsevier; 2016. p. 1145.Google Scholar
  7. 7.
    Nichols W, O’Rourke M, Vlachopoulos C. McDonald’s blood flow in arteries: theoretical, experimental and clinical principles. 6th ed. Boca Raton: CRC Press; 2011.Google Scholar
  8. 8.
    Fronek A, Criqui MH, Denenberg J, Langer RD. Common femoral vein dimensions and hemodynamics including Valsalva response as a function of sex, age, and ethnicity in a population study. J Vasc Surg. 2001;33(5):1050–6.CrossRefGoogle Scholar
  9. 9.
    Sherman TF. On connecting large vessels to small. The meaning of Murray’s law. J Gen Physiol. 1981;78(4):431–53.CrossRefGoogle Scholar
  10. 10.
    Fukaoka M, Okada M, Sugimoto T. Assessment of lower extremity venous function using foot venous pressure measurement. Br J Surg. 1999;86:1149–54.CrossRefGoogle Scholar
  11. 11.
    Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J. Iliac vein compression in an asymptomatic patient population. J Vasc Surg. 2004;39(5):937–43.CrossRefGoogle Scholar
  12. 12.
    Raju S, Davis M. Anomalous features of iliac vein stenosis that affect diagnosis and treatment. J Vasc Surg Venous Lymphat Disord. 2014;2(3):260–7.CrossRefGoogle Scholar
  13. 13.
    Raju S, Oglesbee M, Neglen P. Iliac vein stenting in postmenopausal leg swelling. J Vasc Surg. 2011;53(1):123–30.CrossRefGoogle Scholar
  14. 14.
    Neglen P, Raju S. Intravascular ultrasound scan evaluation of the obstructed vein. J Vasc Surg. 2002;35(4):694–700.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Seshadri Raju
    • 1
  1. 1.The RANE CenterJacksonUSA

Personalised recommendations