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The Party Balloon Assisted Valsalva in Diagnosis of Superficial Venous Valvular Reflux of Lower Limb

Not Applicable
Completed
Conditions
Varicose Veins
Venous Insufficiency
Interventions
Procedure: Valsava
Registration Number
NCT02051439
Lead Sponsor
Mahidol University
Brief Summary

This study was designed to compare the party balloon assisted Valsalva with the conventional Valsava for exhibiting the reverse venous flow in superficial venous valvular incompetence duplex examination.

Detailed Description

In this study, we compared the Party Balloon assisted Valsalva with Conventional Valsalva maneuver in diagnosis of superficial venous valvular reflux of lower limb by crossover study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Age within 18-80 years old
  • Visible GSV varicose veins
  • Trendelenburg test part 1 - Negative (Perforator vein incompetence) and
  • Trendelenburg test part 2 - Positive (Saphenofemoral junction competence)
  • Consent to participate in the study.
Exclusion Criteria
    • CVI from Klippel-Trenaunay syndrome, Deep vein thrombosis (DVT), Arteriovenous fistula (AVF)
  • Failure to language communication
  • Previous heart disease (CAD, Myocardial infarction, Stable angina, Unstable angina, Congestive Heart Failure, Valvular heart disease)
  • Previous lung disease (Asthma, Chronic obstructive pulmonary disease, Bronchiectasia)
  • Abnormalities of oral cavity which cannot hold own breath. (Cleft lip, Cleft palate)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ValsavaValsavaThe patients were randomized to 2 groups. The first group performed conventional Valsava before balloon assisted Valsava. The second group performed balloon assisted Valsava before conventional Valsava for venous reflux examination by duplex scan.
Primary Outcome Measures
NameTimeMethod
Number of successfully identified reflux with different method of Valsava technic20 minutes

Patients performed conventional Valsava for identify venous reflux on duplex scan for 3 times then they performed balloon assisted Valsava for identify venous reflux on duplex scan for 3 times. The Outcome is number of successfully identified reflux with different method of Valsava technic.

Secondary Outcome Measures
NameTimeMethod
The timing of identified venous reflux demonstrated in the duplex scan of conventional Valsava and balloon assisted Valsava20 minutes

The time of identified venous reflux demonstrated in the duplex scan of conventional Valsava and balloon assisted Valsava was compared

The total timing for duplex scan examination in conventional Valsava and balloon assisted Valsava20 minutes

The total timing for duplex scan examination in conventional Valsava and balloon assisted Valsava was compared

The timing for the instruction of conventional Valsava and balloon assisted Valsava20 minutes

The time for training patients to performed conventional Valsava and balloon assisted Valsava before duplex examination was compared

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