ヤマキ　タカシ   Yamaki Takashi   八巻　隆    所属   医学部 医学科（附属足立医療センター）    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Preoperative duplex-derived parameters and angioscopic evidence of valvular incompetence associated with superficial venous insufficiency.
掲載誌名	正式名：Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 略　 称：J Endovasc Ther ISSNコード：1526-6028(Print)1526-6028(Linking)
巻・号・頁	9(2),pp.229-33
著者・共著者	Yamaki Takashi, Sasaki Kenji, Nozaki Motohiro
担当区分	筆頭著者
発行年月	2002/04
概要	PURPOSE:To determine if an association exists between duplex-derived parameters and intraoperative angioscopic findings of valvular incompetence.METHODS:Preoperative duplex scanning and intraoperative angioscopy were performed on 153 limbs in 116 patients (84 women; mean age 53 years, range 24-79) with superficial venous incompetence (SVI). The duplex parameters of vein diameter at the saphenofemoral junction (SFJ), reflux duration, and peak retrograde reflux velocity at the SFJ were analyzed among SVI patients categorizeMETHODS:d by intraoperative angioscopy as type I (valves with elongated and atrophic cusps), type II (valves with expanded and depressed commissures with cusp changes), type III (cusps with other deformities), or type IV (absent valves).RESULTS:There were 33 limbs with type I valves, 56 with type II, 25 with type III, and 39 with type IV. Among the 89 limbs with type I or II valves, 64 (71.9%) had a peak velocityRESULTS:<RESULTS:30 cm/s, while only a quarter of the limbs with type III or IV values had a velocityRESULTS:<RESULTS:30 cm/s. The majority of patients with types I or II valves had a vein diameterRESULTS:<RESULTS:0.9 cm (25 [75.8%RESULTS:]RESULTS:type I and 37 [66.1%RESULTS:]RESULTS:type II). The sensitivity, specificity, and predictive value for identifying type I and II valve lesions were maximized at 90.0%, 66.7%, and 77.8%, respectively, when vein diameterRESULTS:<RESULTS:0.9 cm was combined with a peak reflux velocityRESULTS:>RESULTS:30 cm/s.CONCLUSIONS:These data suggest that a combination of variables determined by preoperative duplex scans may correlate to the severity of valvular deformity determined by direct angioscopic inspection.
DOI	2.0.CO;2
文献番号	12010107