The relationship between the number, competence, and diameter of medial calf perforating veins and the clinical status in healthy subjects and patients with lower-limb venous disease

Objectives: Duplex ultrasound investigation has become the reference standard in assessing the morphology and haemodynamics of the lower limb veins. The project described in this paper was an initiative of the Union Internationale de Phlébologie (UIP). The aim was to obtain a consensus of international experts on the methodology to be used for assessment of the anatomy of superficial and perforating veins in the lower limb by ultrasound imaging. Design: Consensus conference leading to a consensus document. Methods: The authors performed a systematic review of the published literature on duplex anatomy of the superficial and perforating veins of the lower limbs. Afterwards, they invited a group of experts from a wide range of countries to participate in this project. Electronic submissions from the authors and the experts (text and images) were made available to all participants via the UIP website. The authors prepared a draft document for discussion at the UIP Chapter meeting held in San Diego, USA, in August 2003. Following this meeting, a revised manuscript was circulated to all participants and further comments were received by the authors and included in subsequent versions of the manuscript. Eventually, all participants agreed on the final version of the paper. Results: The experts have made detailed recommendations concerning the methods to be used for duplex ultrasound examination as well as the interpretation of images and measurements obtained. This document provides a detailed methodology for complete ultrasound assessment of the anatomy of the superficial and perforating veins in the lower limbs. Conclusions: The authors and a large group of experts have agreed on a methodology for the investigation of the lower limbs venous system, by duplex ultrasonography, with specific reference to the anatomy of the main superficial veins and perforators of the lower limbs in healthy and varicose subjects.

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Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part II. Anatomy

VASA ◽

10.1024/0301-1526.36.1.62 ◽

2007 ◽

Vol 36 (1) ◽

pp. 62-71 ◽

Cited By ~ 17

Author(s):

Cavezzi ◽

Labropoulos ◽

Partsch ◽

Ricci ◽

Caggiati ◽

...

Keyword(s):

Lower Limb ◽

Duplex Ultrasound ◽

Lower Limbs ◽

Chronic Venous Disease ◽

Specific Reference ◽

Venous Disease ◽

Perforating Veins ◽

Consensus Document ◽

Wide Range ◽

Ultrasound Investigation

Background: Duplex ultrasound investigation has become the reference standard in assessing the morphology and haemodynamics of the lower limb veins. The project described in this paper was an initiative of the Union Internationale de Phlébologie (UIP). The aim was to obtain a consensus of international experts on the methodology to be used for assessment of anatomy of superficial and perforating veins in the lower limb by ultrasound imaging. Methods: The authors performed a systematic review of the published literature on duplex anatomy of the superficial and perforating veins of the lower limbs; afterwards they invited a group of experts from a wide range of countries to participate in this project. Electronic submissions from the authors and the experts (text and images) were made available to all participants via the UIP website. The authors prepared a draft document for discussion at the UIP Chapter meeting held in San Diego, USA in August 2003. Following this meeting a revised manuscript was circulated to all participants and further comments were received by the authors and included in subsequent versions of the manuscript. Eventually, all participants agreed the final version of the paper. Results: The experts have made detailed recommendations concerning the methods to be used for duplex ultrasound examination as well as the interpretation of images and measurements obtained. This document provides a detailed methodology for complete ultrasound assessment of the anatomy of the superficial and perforating veins in the lower limbs. Conclusions: The authors and a large group of experts have agreed a methodology for the investigation of the lower limbs venous system by duplex ultrasonography, with specific reference to the anatomy of the main superficial veins and perforators of the lower limbs in healthy and varicose subjects.

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Ventilatory threshold is related to walking tolerance in patients with intermittent claudication

VASA ◽

10.1024/0301-1526/a000203 ◽

2012 ◽

Vol 41 (4) ◽

pp. 275-281 ◽

Cited By ~ 3

Author(s):

da Rocha Chehuen ◽

G. Cucato ◽

P. dos Anjos Souza Barbosa ◽

A. R. Costa ◽

M. Ritti-Dias ◽

...

Keyword(s):

Blood Flow ◽

Oxygen Uptake ◽

Intermittent Claudication ◽

Lower Limb ◽

Ventilatory Threshold ◽

Reactive Hyperemia ◽

Ankle Brachial Index ◽

Metabolic Parameters ◽

Walking Distance ◽

The Relationship

Background: This study assessed the relationship between lower limb hemodynamics and metabolic parameters with walking tolerance in patients with intermittent claudication (IC). Patients and methods: Resting ankle-brachial index (ABI), baseline blood flow (BF), BF response to reactive hyperemia (BFRH), oxygen uptake (VO2), initial claudication distance (ICD) and total walking distance (TWD) were measured in 28 IC patients. Pearson and Spearman correlations were calculated. Results: ABI, baseline BF and BF response to RH did not correlate with ICD or TWD. VO2 at first ventilatory threshold and VO2peak were significantly and positively correlated with ICD (r = 0.41 and 0.54, respectively) and TWD (r = 0.65 and 0.71, respectively). Conclusions: VO2peak and VO2 at first ventilatory threshold, but not ABI, baseline BF and BFHR were associated with walking tolerance in IC patients. These results suggest that VO2 at first ventilatory threshold may be useful to evaluate walking tolerance and improvements in IC patients.

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Analyzing Motor Primitives of Healthy Subjects Wearing a Lower Limb Exoskeleton

10.26678/abcm.cobem2017.cob17-1214 ◽

2017 ◽

Author(s):

Wilian dos Santos ◽

Samuel Lourenco ◽

Adriano Siqueira ◽

Polyana Ferreira Nunes

Keyword(s):

Lower Limb ◽

Healthy Subjects ◽

Motor Primitives ◽

Lower Limb Exoskeleton

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Terson sign:

Jornal Memorial da Medicina ◽

10.37085/jmmv2.n1.2020.pp.38-43 ◽

2020 ◽

Vol 2 (1) ◽

pp. 38-43

Author(s):

Luiz Severo Bem Junior ◽

Gustavo De Souza Andrade ◽

Joao Ribeiro Memória Júnior ◽

Hildo Rocha Cirne de Azevedo Filho

Keyword(s):

Subarachnoid Hemorrhage ◽

Early Recognition ◽

Aneurysmal Subarachnoid Hemorrhage ◽

Case Reports ◽

Clinical Status ◽

Vitreous Hemorrhage ◽

Anterior Communicating Artery ◽

Inclusion Criteria ◽

Relationship Of ◽

The Relationship

Terson's sign (TS) is classically defined as vitreous hemorrhage associated with subarachnoid hemorrhage of aneurysmal origin, being an important predictor of severity, indicating greater morbidity and mortality when compared to patients without the sign. The objective of this study is to review the relationship of Terson syndrome/Terson sign with the prognosis of aneurysmal subarachnoid hemorrhage. A search for original articles, research and case reports was performed on the PubMed, Scielo, Cochrane and ScienceDirect platform, with the following descriptors: Terson sign and subarachnoid hemorrhage. Retrospective, prospective articles and case reports published in the last 5 years and which were in accordance with the established objective and inclusion criteria were selected. Ten (10) articles were selected, in which the available results show an unfavorable prognostic relationship of TS and subarachnoid hemorrhage, because these patients had a worse clinical status assessed on the Glasgow scales ≤ 8, Hunt & Hess > III, Fisher > 3, in addition to intracranial hypertension and location of the aneurysm in the anterior communicating artery complex. The early recognition of this condition described by Albert Terson in 1900 brought an important contribution to neurosurgery, being recognized until nowadays.

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The relationship between obesity and amputation-free survival in patients with undergoing lower-limb revascularisation for chronic limb-threatening ischaemia: a retrospective cohort study

Annals of Vascular Surgery ◽

10.1016/j.avsg.2021.06.022 ◽

2021 ◽

Author(s):

Cezar Sabbagh ◽

Andrew Nickinson ◽

Sarah Cullen ◽

Bhavisha Patel ◽

Svetlana Dubkova ◽

...

Keyword(s):

Cohort Study ◽

Retrospective Cohort Study ◽

Lower Limb ◽

Retrospective Cohort ◽

Free Survival ◽

The Relationship

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Study onYang-XuUsing Body Constitution Questionnaire and Blood Variables in Healthy Volunteers

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2016/9437382 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 7

Author(s):

Hong-Jhang Chen ◽

Yii-Jeng Lin ◽

Pei-Chen Wu ◽

Wei-Hsiang Hsu ◽

Wan-Chung Hu ◽

...

Keyword(s):

Healthy Subjects ◽

Logistic Regression Model ◽

Cross Validation ◽

Blood Biomarkers ◽

Metabolic Characteristics ◽

Body Constitution ◽

Leave One Out ◽

The Relationship ◽

Fold Cross Validation ◽

Blood Variables

Traditional Chinese medicine (TCM) formulates treatment according to body constitution (BC) differentiation. Different constitutions have specific metabolic characteristics and different susceptibility to certain diseases. This study aimed to assess theYang-Xuconstitution using a body constitution questionnaire (BCQ) and clinical blood variables. A BCQ was employed to assess the clinical manifestation ofYang-Xu. The logistic regression model was conducted to explore the relationship between BC scores and biomarkers. Leave-one-out cross-validation (LOOCV) and K-fold cross-validation were performed to evaluate the accuracy of a predictive model in practice. Decision trees (DTs) were conducted to determine the possible relationships between blood biomarkers and BC scores. According to the BCQ analysis, 49% participants without any BC were classified as healthy subjects. Among them, 130 samples were selected for further analysis and divided into two groups. One group comprised healthy subjects without any BC (68%), while subjects of the other group, named as the sub-healthy group, had three BCs (32%). Six biomarkers, CRE, TSH, HB, MONO, RBC, and LH, were found to have the greatest impact on BCQ outcomes inYang-Xusubjects. This study indicated significant biochemical differences inYang-Xusubjects, which may provide a connection between blood variables and theYang-XuBC.

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