Investigation and treatment of pelvic vein reflux associated with varicose veins: Current views and practice of 100 UK vascular specialists-Reference-Cited by-同舟云学术

Investigation and treatment of pelvic vein reflux associated with varicose veins: Current views and practice of 100 UK vascular specialists

Published:2019-05-13 Issue:1 Volume:35 Page:56-61
ISSN:0268-3555
Container-title:Phlebology: The Journal of Venous Disease
language:en
Short-container-title:Phlebology

Author:

Campbell Bruce¹^ORCID,Goodyear Stephen²,Franklin Ian³,Nyamekye Isaac²^ORCID,Poskitt Keith⁴

Affiliation:

1. Royal Devon and Exeter Hospital, Exeter, UK

2. Worcestershire Acute Hospitals NHS Trust, Worcester, UK

3. London Vascular Clinic, London, UK

4. Cheltenham Vascular Unit, Cheltenham, UK

Abstract

Objective Management of pelvic vein disorders possibly contributing to leg varicose veins remains variable and controversial. This survey investigated practice in the UK. Methods Email questionnaire to 328 members of the Vascular Society. Results One hundred and four (32%) questionnaires were returned. Of 100 respondents treating varicose veins, 9% do not recognise pelvic vein reflux and 11% never investigate or treat it. Indications for investigation include labial (94%) and buttock/upper thigh (70%) varicose veins: 46% use magnetic resonance venography and only 16% transvaginal duplex. Treatments used are coil embolization (89%), sclerotherapy via thigh veins (47%) and transcatheter sclerotherapy (26%). Thirty-four per cent treat only ovarian veins (not internal iliac tributaries). Follow-up is by clinical response (100%): only 14% use duplex. Only 5% treat >10 patients annually. Conclusions There is substantial variation in the management of pelvic vein reflux in the UK. There is need for further consensus and good clinical trial evidence to guide practice.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/0268355519848621

Reference13 articles.

1. Pelvic venous reflux is a major contributory cause of recurrent varicose veins in more than a quarter of women

2. Pelvic Vein Embolisation in the Management of Varicose Veins

3. Transvaginal duplex ultrasonography appears to be the gold standard investigation for the haemodynamic evaluation of pelvic venous reflux in the ovarian and internal iliac veins in women

4. Long-term results of transjugular coil embolisation for pelvic vein reflux – Results of the abolition of venous reflux at 6–8 years

5. Pelvic vein embolisation of gonadal and internal iliac veins can be performed safely and with good technical results in an ambulatory vein clinic, under local anaesthetic alone – Results from two years' experience

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