The femoral vein diameter and its correlation with sex, age and body mass index – An anatomical parameter with clinical relevance

Background The femoral vein diameter is a critical factor when assessing endoprosthetic valve size for the treatment of chronic venous insufficiency. To examine the previously stated correlation between body mass index and femoral vein diameter and to re-assess the anatomical and physiological demands for a valve implant for chronic venous insufficiency treatment, we measured the femoral vein diameter in 82 subjects. Method Femoral vein diameters (164 legs) were measured with B-mode sonography both in supine position at rest and in upright position during Valsalva maneuver. Result The mean femoral vein diameter differed significantly between supine position (13.6 ± 3.0 mm) and upright position (16.4 ± 2.6 mm). Males possessed a significant bigger diameter than females. A significant positive correlation between femoral vein diameter and body mass index was observed. Conclusion Assuming an increased femoral vein diameter due to obesity would further impair valve functionality by increasing distance between both valve cusps. For the development of artificial venous valves, it is crucial to consider patient- and condition-dependent vein dilation.

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Study of chronic venous insufficiency in relation with body mass index

International Surgery Journal ◽

10.18203/2349-2902.isj20212267 ◽

2021 ◽

Vol 8 (6) ◽

pp. 1759

Author(s):

Jitesh Desai ◽

Jayesh Patel ◽

Sujan Patel ◽

Ravi Bhatt ◽

Pranjal Sangole ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Normal Weight ◽

P Value ◽

Venous Disease ◽

History Of ◽

Genetic And Environmental Factors

Background: Chronic venous insufficiency (CVI) is a condition that occurs due to dysfunctional venous wall and/or valves in the lower limb veins. Some common etiological factors of CVI are obesity, age of more than 50 years, family history of CVI, smoking and pregnancy. The combination of obesity and other genetic and environmental factors creates a higher risk for the development of CVI.Methods: The grade of the venous disease was recorded using the CEAP (anatomical and pathophysiologic criteria). BMI (body mass index) was calculated for each patient and the patients were classified into underweight, normal, overweight and obese categories. Mean, standard deviation, p value and percentage of each stage of venous disease in each group was calculated accordingly and studied.Results: In this study, it was established that a patient with a high BMI (>25 kg/m2) had a higher probability of developing CVI in comparison to a patient with a lower BMI. According to the data, 28.6% of normal weight patients had CVI, 64.3% of overweight patients had CVI and 81.5% of obese patients had CVI.Conclusions: In this study, we concluded that as the BMI increases the probability of development of CVI (C3-C6) also increases. Thus, the presence of CVI should be identified and treated promptly in obese individuals with close follow-up in order to prevent complications.

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A study of chronic venous insufficiency in relation with body mass index and diameter of saphenofemoral junction and great saphenous vein

Indian Journal of Vascular and Endovascular Surgery ◽

10.4103/ijves.ijves_50_20 ◽

2021 ◽

Vol 8 (1) ◽

pp. 58

Author(s):

Pratiksha Shah ◽

Jayesh Patel ◽

Fenil Gandhi

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Saphenous Vein ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Great Saphenous Vein ◽

Saphenofemoral Junction

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Clinical and instrumental associations of knee osteoarthrosis and pathology of the veins of the lower extremities

Rheumatology Science and Practice ◽

10.47360/1995-4484-2021-184-191 ◽

2021 ◽

Vol 59 (2) ◽

pp. 184-191

Author(s):

E. V. Zubareva ◽

M. G. Goncharova ◽

D. M. Maksimov ◽

O. M. Lesnyak

Keyword(s):

Body Mass Index ◽

Older Women ◽

Body Mass ◽

Lower Limb ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Lower Extremities ◽

Vascular Pathology ◽

Middle Aged ◽

Knee Oa

Knee osteoarthritis (OA) and varicose disease of the lower extremities (VD) are two diseases common in middle– aged and older women. Questions about whether their combination is accidental or natural and whether VD affects the course and severity of OA, remain unresolved.The aim of the study was to look for the possible association between knee OA and lower limb vein pathology on the basis of clinical and modern instrumental investigation sand to study the effect of the VD on the clinical manifestations and severity of knee OA.Materials and methods. A case-control study was conducted in 85 women 40–60 years old with knee OA diagnosed in accordance with the criteria of ACR (1986) and 50 women of the same age without signs of knee OA. Women of both groups were evaluated for complaints and objective examination with an emphasis on diseases of the joints and veins of the lower extremities, radiography of the knee joints, ultrasound duplex scanning of the veins of the lower extremities. The severity of OA was assessed by the Lequenne indices. The clinical assessment of venous pathology was carried out according to the CEAP classification.Results. Patients with knee OA more often than their peers without joint pathology have VD (43% vs 22%; p=0.015), signs of chronic venous insufficiency (28% vs 12%; p=0.03), as well as valve failure of several lower limb veins simultaneously (53% vs 20%; p=0.0004). After correction by body mass index, the association of knee OA with detected vascular pathology remained clinically and statistically significant. The presence of VD with moderate manifestations of chronic venous insufficiency, as well as ultrasound signs of venous pathology, was not associated with the clinical signs and course of knee OA.Conclusions. Knee OA in middle-aged and older women, regardless of body mass index, is associated with VD and ultrasound signs of simultaneous valves failure of several veins. Manifestations of chronic venous insufficiency did not affect the clinical picture and severity of knee OA.

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The Influence Of Body Mass Index (BMI) On The Lung Volume Change From Lateral To Supine Position

10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a2212 ◽

2010 ◽

Author(s):

Amy S. Jordan ◽

Emma M. Rainbird ◽

John Trinder ◽

Warren R. Ruehland ◽

Danny J. Brazzale ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Volume Change ◽

Lung Volume ◽

Supine Position

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Does Increased Body Mass Index Cause Pain and Impact Overall Quality of Life in Case of Venous Insufficiency?

Turkish Journal of Sports Medicine ◽

10.5152/tjsm.2017.079 ◽

2017 ◽

Vol 52 (4) ◽

pp. 127-132

Author(s):

Sabriye Ercan ◽

Cem Cetin

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Body Mass ◽

Venous Insufficiency

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An Alternative Therapy for Recurrent Stasis Ulcers in Chronic Venous Insufficiency: Venocuff

Case Reports in Vascular Medicine ◽

10.1155/2012/315147 ◽

2012 ◽

Vol 2012 ◽

pp. 1-2 ◽

Cited By ~ 3

Author(s):

Celal Yavuz ◽

Sinan Demirtas ◽

Orkut Guclu ◽

Oguz Karahan ◽

Suleyman Yazici ◽

...

Keyword(s):

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Doppler Sonography ◽

Femoral Vein ◽

Alternative Therapy ◽

Low Molecular Weight ◽

Drug Usage ◽

History Of ◽

Saphenofemoral Junction

Chronic venous insufficiency may cause stasis ulcers that significantly impact on the quality of life. Many methods have been described for preventing or treating these ulcers. However, stasis ulcers often recur as a result of continuing venous insufficiency. Here we report a 30-year-old male patient with chronic venous insufficiency. He was admitted to the hospital owing to recurrent stasis ulcers. He had a history of various flavonoid drug usage and compression therapies over the previous six years. Venous Doppler sonography revealed combined saphenofemoral and deep femoral venous insufficiency. Venocuff was applied to the prejunctional and postjunctional parts of the femoral vein and the saphenofemoral junction. The patient was discharged on the postoperative second day, and a low-molecular-weight heparin dressing composed of calcium alginate was applied to the ulcer wound for one week after the operation. The stasis ulcer wound was totally healed after one month. The patient was followed up six months after the operation, and no postoperative complications or new ulceration was observed. Recurrent stasis ulcers are major reasons for hospitalization in patients with chronic venous insufficiency. Venocuff application for reducing venous insufficiency may be a good option for adjunctive ulcer therapy and for preventing recurrences of the problem.

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