Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer

© The Author(s) 2020. Leg ulcers caused by venous diseases are effectively assessed by Doppler ultrasonography. The examination provides clear anatomical and physiological information for the diagnosis, treatment planning, and real-time guiding during the surgical treatment. Diagnostic Doppler ultra...

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Main Authors: Tanop Srisuwan, Nakarin Inmutto, Thanate Kattipathanapong, Amaraporn Rerkasem, Kitttipan Rerkasem
Format: Journal
Published: 2020
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/70899
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-708992020-10-14T08:44:25Z Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer Tanop Srisuwan Nakarin Inmutto Thanate Kattipathanapong Amaraporn Rerkasem Kitttipan Rerkasem Medicine © The Author(s) 2020. Leg ulcers caused by venous diseases are effectively assessed by Doppler ultrasonography. The examination provides clear anatomical and physiological information for the diagnosis, treatment planning, and real-time guiding during the surgical treatment. Diagnostic Doppler ultrasonography assesses deep, superficial, and perforator veins, starting from patency assessment by direct visualization and simply compression test. The internal flow can be assessed by pulse wave analysis, which is used for rule out downstream flow obstruction and valvular incompetence. The venous valve function of deep, superficial, and perforator systems can be evaluated by measuring the time of the retrograde flow after flow augmentation performing in the upright position. At the end of the study, the venous map will be obtained and this map will guide clinicians to target treatment where the culprit is. The ultrasound technology has made a big shift in the treatment in the venous disease. In recent years, after the evolution and wide availability of ultrasound, newer treatment modalities have emerged for venous treatment. These include endovenous thermal ablation, endovenous adhesive closure, and ultrasound-guided foam sclerotherapy. Patients no longer require general anesthesia or hospitalization. Therefore utilization of duplex ultrasound has also surged and played an essential role in both diagnosis and therapy in venous ulcer. This article has dedicated to reviewing basic anatomy, the technique in diagnosis, and treatment. 2020-10-14T08:44:25Z 2020-10-14T08:44:25Z 2020-01-01 Journal 15526941 15347346 2-s2.0-85089259554 10.1177/1534734620947087 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85089259554&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/70899
institution Chiang Mai University
building Chiang Mai University Library
continent Asia
country Thailand
Thailand
content_provider Chiang Mai University Library
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Tanop Srisuwan
Nakarin Inmutto
Thanate Kattipathanapong
Amaraporn Rerkasem
Kitttipan Rerkasem
Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer
description © The Author(s) 2020. Leg ulcers caused by venous diseases are effectively assessed by Doppler ultrasonography. The examination provides clear anatomical and physiological information for the diagnosis, treatment planning, and real-time guiding during the surgical treatment. Diagnostic Doppler ultrasonography assesses deep, superficial, and perforator veins, starting from patency assessment by direct visualization and simply compression test. The internal flow can be assessed by pulse wave analysis, which is used for rule out downstream flow obstruction and valvular incompetence. The venous valve function of deep, superficial, and perforator systems can be evaluated by measuring the time of the retrograde flow after flow augmentation performing in the upright position. At the end of the study, the venous map will be obtained and this map will guide clinicians to target treatment where the culprit is. The ultrasound technology has made a big shift in the treatment in the venous disease. In recent years, after the evolution and wide availability of ultrasound, newer treatment modalities have emerged for venous treatment. These include endovenous thermal ablation, endovenous adhesive closure, and ultrasound-guided foam sclerotherapy. Patients no longer require general anesthesia or hospitalization. Therefore utilization of duplex ultrasound has also surged and played an essential role in both diagnosis and therapy in venous ulcer. This article has dedicated to reviewing basic anatomy, the technique in diagnosis, and treatment.
format Journal
author Tanop Srisuwan
Nakarin Inmutto
Thanate Kattipathanapong
Amaraporn Rerkasem
Kitttipan Rerkasem
author_facet Tanop Srisuwan
Nakarin Inmutto
Thanate Kattipathanapong
Amaraporn Rerkasem
Kitttipan Rerkasem
author_sort Tanop Srisuwan
title Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer
title_short Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer
title_full Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer
title_fullStr Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer
title_full_unstemmed Ultrasound Use in Diagnosis and Management of Venous Leg Ulcer
title_sort ultrasound use in diagnosis and management of venous leg ulcer
publishDate 2020
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85089259554&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70899
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