Correlation between clinical and radiological findings in varicose veins

Not yet recruiting

Conditions: Asymptomatic varicose veins of lower extremities, (2) ICD-10 Condition: I832||Varicose veins of lower extremities with both ulcer and inflammation, (3) ICD-10 Condition: I831||Varicose veins of lower extremities with inflammation, (4) ICD-10 Condition: I838||Varicose veins of lower extremities with other complications, (5) ICD-10 Condition: I830||Varicose veins of lower extremities with ulcer,

Registration Number: CTRI/2023/07/055815

Lead Sponsor: CDSIMER

Brief Summary: Varicose veinsare a common chronic venous disorder affecting 20 to 60% of adults worldwide.However, the disease occurrence varies significantly by geographical region;with comparatively lowered incidence of 19% in Asian ethnic group than theother ethnic groups.

Varicose veinsare superficial, dilated, tortuous and enlarged veins, generally larger than3mm in diameter, occuringdue to loss of valvular efficiency which is a product of the resultant venoushypertension in standing position

Various Venous outcomes assessment toolshave been used to evaluate the severity of venous disease and providestandardized evaluation of treatment effectiveness.

To standardizethe diverse clinical manifestations of CVI, clinical, etiological, anatomical,and pathological (CEAP) classification was developed by American Venous Forumat the sixth annual meeting in 1994.[[4](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7810071/#ref4)] It lacks theability to assess disease severity. An Ad hoc Committee of the American VenousForum on Venous Outcome Assessment proposed venous clinical severity score(VCSS) on March 2000.

Venous valvular incompetence/reflux assessedby venous doppler study using the Valsalva test and calf compression (manual orwith a pneumatic cuff) is the most frequently used ultrasound criterion forsignificant reflux in many studies. It is a semi-quantitative grading (1=mild,2=moderate and 3=severe) based on blood flow velocity and duration of refluxshown by reversed flow during decompression.

They have been used asindependent determinants of [venous disease](https://www.sciencedirect.com/topics/medicine-and-dentistry/vein-disease "Learn more about venous disease from ScienceDirect’s AI-generated Topic Pages") severity, but correlationbetween these tools has not been tested.

Thisstudy is undertaken to correlate VCSS (venous clinical severity score) withgrading of VRS (venous reflux score) by using the standard colour Doppler inlower limb varicose veins

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 70

Inclusion Criteria

Patients who come to surgical OPD with primary varicose veins diagnosed by history, clinical examination and imaging techniques.

Exclusion Criteria

1.secondary varicose veins 2.Varicose vein with Peripheral arterial disease of lower limbs 3.Isolated perforator incompetence and SPJ incompetence 4.Recurrent varicose veins after previous surgery(REVAS).

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
VRS duration in seconds	baseline
components of rVCSS :Pain, Varicose veins, Venous edema, skin pigmentation, Inflammation, induration, active ulcer number, duration & size, use of compressive therapy.	baseline

Secondary Outcome Measures

Name	Time	Method
no other outcomes studied	not applicable

Trial Locations

Locations (1): CDSIMER
🇮🇳
Rural, KARNATAKA, India
CDSIMER
🇮🇳Rural, KARNATAKA, India
Dr Varsha R K
Principal investigator
9632378756
varshark07@gmail.com