RELATIONSHIP BETWEEN ULTRASONOGRAPHIC CRITERIA, CLINICAL MANIFESTATIONS AND LIFE QUALITY PARAMETERS IN PATIENTS WITH LOWER EXTREMITY VARICOSE VEIN DISEASE

Authors:

Abstract:

Comparing the efficacy of modern methods of treatment of the varicose veins disease of the lower extremities requires accurate documentation of the clinical, anatomical and functional situation in each patient using standardized and proven methods. In our study we analyzed the relationship between the diameter of the great saphenous vein determined at the level of the saphenous-femoral joint, for 3 cm distal and in the middle of the thigh, with the duration of reflux. We also studied the severity of clinical manifestations according to CEAP classification, VCSS varicose disease severity scale and quality of life with the help of the AVVQ questionnaire. According to the results of the study, it the importance of determining the diameter and reflux of the great saphenous vein at the level of saphenous-femoral joint, as there is a statistically significant difference in the mean level of correlation between these indicators and survey areas provided by consensus documents. It has been found that with increasing vein diameter, a more severe clinical class and manifestations of the disease are diagnosed. The relationship between the severity of varicose veins of the lower extremities on the VCSS scale and the assessment of the quality of life using the AVVQ questionnaire was established.

Keywords:

varicose vein disease vein diameter severity quality of life

References:

1. Atamanyuk OY, Skrypko VD, Atamanyuk VM, Trombola OV. Transkulturna adaptatsiya ta validatsiya ukrayinomovnoyi versiyi spetsializovanoho flebolohichnoho opytuvalnyka otsinky yakosti zhyttya. Art of Medicine. 2022; 1(21):9–13. doi: 10.21802/artm.2022.1.21.14. [in Ukrainian]
2. De Maeseneer M, Pichot O, Cavezzi A, Earnshaw J, Rij A, Lurie F, et al. Duplex Ultrasound Investigation of the Veins of the Lower Limbs after Treatment for Varicose Veins UIP Consensus Document. Eur J Vasc Endovasc Surg (2011); 42:89–102. doi:10. 1016/j.ejvs.2011.03.013.
3. Gibson K, Meissner M, Wright D. Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence. J Vasc Surg 2012; 56: 1634e41. doi:10.1016/j.jvs.2012.02.065.
4. Kaiser Foundation Health Plan of Washington. Clinical review criteria: treatment of varicose. Available at: https://provider.ghc. org/all-sites/clinical/criteria/pdf/veins.pdf. [Accessed 12 September 2018].
5. Lane TRA, Varatharajan L, Fiorentino F, Shepherd AC, Zimmo L, Gohel MS, et al. Truncal varicose vein diameter and patient- reported outcome measures. Br J Surg 2017; 104:1648–55. doi:10.1002/bjs.10598.
6. Lattimer CR, Kalodiki E, Azzam M, Geroulakos G. The Aberdeen varicose vein questionnaire may be the preferred method of ra- tioning patients for varicose vein surgery. Angiology 2014; 65: 205e9. doi:10.1177/0003319712474953.
7. Lurie F, Passman M, Meisner M, Dalsing M, Masuda E, Welch H, Bush RL et al. CEAP classification system and reporting standard, revision 2020. Journal of Vascular Surgery: Venous and Lymphatic Disorders 2020; (2). doi:10.1016/j.jvsv.2019.12.075.
8. Marsden G, Perry M, Bradbury AW, Hickey N, Kelley K, Trender H, et al. A cost-effectiveness analysis of surgery, endothermal ablation, ultrasound-guided foam sclerotherapy and compression stockings for symptomatic varicose veins. Eur J Vasc Endovasc Surg 2015; 50:794–801. doi: 10.1016/j.ejvs.2015.07.034.
9. Matthew KH, Tan, Sharon A, Sutanto, Onida S, Davies AH. The Relationship Between Vein Diameters, Clinical Severity, and Quality of Life: A Systematic Review. Eur J Vasc Endovasc Surg (2019); 57:851–7. doi:10.1016/j.ejvs.2019.01.024.
10. Mendoza E, Amsler F, Kalodiki E. Correlation between GSV diameter and varicose clinics. Phlebologie. 2016; 45:29–35. DOI:10.12687/phleb2291-1-2016.
11. Mendoza E, Blättler W, Amsler F. Great saphenous vein diameter at the saphenofemoral junction and proximal thigh as parameters of venous disease class. Eur J Vasc Endovasc Surg 2013; 45:76–83. https://doi.org/10.1016/j.ejvs.2012.10.014
12. United Healthcare. Surgical and ablative procedures for venous insufficiency and varicose veins. Available at: https://www. uhcprovider.com/content/dam/provider/docs/public/policies/ comm-medical-drug/surgical-ablative-procedures-venous- insufficiency-varicose-veins.pdf. [Accessed 12 September 2018]).
13. Vasquez MA, Munschauter CE. Venous Clinical Severity Score and quality-of-life assessment tools: application to vein practice. Phlebology 2008; 23:259–275. doi:10.1258/phleb.2008.008018.
14. Vuylsteke ME, Colman R, Thomis S, Guillaume G, Van Quickenborne D, Staelens I. An Epidemiological Survey of Venous Disease Among General Practitioner Attendees in Different Geographical Regions on the Globe: The Final Results of the Vein Consult Program. Angiology 2018; XX(X):1–7. doi:10.1177/0003319718759834.
15. Wrona M, Jöckel K-H, Pannier F, Bock E, Hoffmann B, Rabe E. Association of Venous Disorders with Leg Symptoms: Results from the Bonn Vein Study 1. Eur J Vasc Endovasc Surg. 2015 Sep; 50(3):360–7. doi: 10.1016/j.ejvs.2015.05.013.

Publication:

«World of Medicine and Biology» Vol. 18 No. 80 (2022) , с. 13-18
УДК 616.147.3-007.64+591.414+304.2+616-039.3

DOI:

https://doi.org/10.26724/2079-8334-2022-2-80-13-18