ROLE OF COLOUR FLOW DUPLEX SONOGRAPHY IN EVALUATION OF VARICOSE VEINS OF LOWER LIMBS

Abstract

Rama Krishna Narra, Sushma Vuyyuru, Bhimeswara Rao P, Anusha Putcha

BACKGROUND Varicose veins are dilated, tortuous veins mainly involving the superficial veins of lower limb. Depending on the presence or absence of the underlying cause, they are classified as primary and secondary.Colour Doppler / duplex scanning is a widely available non-invasive modality used for the evaluation of varicose veins. In this study, we evaluated the role of Doppler ultrasound for the evaluation of varicose veins and determine the cause where ever feasible. MATERIALS AND METHODS The study is a prospective study of 50 patients referred with signs and symptoms of varicose veins to the department of Radiodiagnosis at Katuri Medical College, Chinakondrupadu, between January 2016 and October 2017, for a period of 21 months. RESULTS A total of 42 (50%) cases were studied with colour duplex doppler of which 21 (42.86%) cases were primary, and 18 secondary to DVT and 3 (7.14%) congenital. CONCLUSION Colour duplex assessment of peripheral veins provides an adequate and rich information, both the anatomical and physiological information. Doppler imaging is non-invasive, radiation free, hassle free modality for examining the venous system, particularly with respect to the diagnosis of thrombus and chronic venous insufficiency particularly in symptomatic patients.

image