Abstract
Varicose disease presents a remarkable variety of forms and clinical expressions. The morphological expression of the disease especially in patients with very large, visible tributaries seldom correlates with their clinical significance. Similarly, ulceration can occur without any visible varicose veins and just a refluxing saphenous trunk.
Many systems for classifying varicose veins have been published (Eklöf et al., J Vasc Surg 40:1248–1252, 2004; Hach and Hach-Wunderle, Die Rezirkulationskreise der primären Varikose – Pathophysiologische Grundlagen zur chirurgischen Therapie. Springer, Berlin/Heidelberg, 1994; Nicolaides, Circulation 102:126–163, 2000). Some consider the clinical results, others the morphology and some both. Classification is advisable for clinical assessment and epidemiological studies on the severity and progression of the disease. It is also required for comparisons between different treatment modalities and phlebology practices.
This chapter examines the morphological, anatomical and physiological classifications where duplex ultrasound is necessary in the evaluation process.
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Mendoza, E., Lattimer, C.R. (2014). Ultrasound-Based Classifications of Varicose Veins. In: Mendoza, E., Lattimer, C., Morrison, N. (eds) Duplex Ultrasound of Superficial Leg Veins. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40731-4_4
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DOI: https://doi.org/10.1007/978-3-642-40731-4_4
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