Salgado SG, Marin MDP, Espinosa PKE, Ramírez AJL

Language: Spanish
References: 13
Page: 307-317
PDF size: 830.18 Kb.

ABSTRACT

Objective: To review the anatomy, clinical classification and compare the effectiveness of the Valsalva maneuver vs. decompression maneuvers to demonstrate reflux in the SFJ (USF) in patients with venous insufficiency of lower limbs (IVMsPs).
Material and methods: Prospective study of 96 limbs in 49 patients with IVMsPs sent by the Angiology Service of June 2008 to June 2009. Cutting time to consider positive reflux was 2 seconds Valsalva maneuver and 0.5 seconds with decompression maneuver.
Results: Of the patients studied by CEAP classification, Class 3 (34.69%) was the most prevalent, Class 2 (32.65%) was the second and showed that 23.7% of patients leaving negative reflux USF preterminal valve after the Valsalva maneuver, were positive for reflux relief maneuver. Also according to the CEAP classification 1, 2, 3, decompression maneuver was more sensitive to demonstrate reflux.
Conclusion: When scanning in patients with IVMsPs in CEAP class 1, 2 and 3, should give priority to perform the maneuver of decompression, which is more sensitive in detecting reflux in the SFJ in this group of patients.

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