Burgos ZJL, Corona MA, Luna BB, Burgos ZJÁ, Ramírez AJL, Salgado SG

Language: Spanish
References: 11
Page: 301-306
PDF size: 124.55 Kb.

ABSTRACT

Objective: To review the anatomy, clinical classification and compare the effectiveness of the Valsalva maneuver vs. decompression maneuver to demonstrate reflux in the saphenofemoral junction (SFU) in patients with pelvic limb venous insufficiency (PsLsVI).
Methods: A prospective study of 96 limbs in 49 patients with IVMsPs sent by the Service of Angiology in June 2008 to June 2009. The cutoff time to consider positive reflux was 2 seconds and Valsalva maneuver with 0.5 seconds decompression.
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 after the preterminal valve with Valsalva maneuver, were positive for reflux with decompression maneuver. Also according to the CEAP classification 1, 2, 3, decompression maneuver was more sensitive to demonstrate reflux.
Conclusion: By doing exploration in patients with CEAP PsLsVI in class 1, 2 and 3, it should give priority to perform the maneuver of decompression, it is more sensitive in detecting reflux at the saphenofemoral junction in this patient group.

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