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Congress: ECR24
Poster Number: C-22674
Type: EPOS Radiologist (educational)
DOI: 10.26044/ecr2024/C-22674
Authorblock: A. A. Alansari, K. B. Waheed; Dhahran/SA
Disclosures:
Amnah Abbas Alansari: Nothing to disclose
Khawaja Bilal Waheed: Consultant: King Fahad Military Medical Complex
Keywords: Veins / Vena cava, Ultrasound, Diagnostic procedure, Outcomes
Learning objectives Varicose veins and venous insufficiency are common, with varying prevalence rates. Chronic venous insufficiency can cause eczema, edema, hyperpigmentation, and scarring, with more severe cases resulting in venous stasis ulcers, causing significant morbidity. Successful treatment of venous insufficiency depends on an adequate diagnostic evaluation and appropriate selection of treatment. Therefore, we ought to present a simplified approach for the assessment and documentation of Doppler venous ultrasound findings which are clinically important for the management.
Read more Background We used a simplified approach for venous ultrasounds of the lower extremities/ limbs and named it- 'DJPA'; looking for DVT (Deep Venous Thrombosis), competency of Junctions (saphenofemoral and saphenopopliteal by Valsalva method), and Perforators (by compression-release), and Assessment for GSV (great saphenous vein diameter) and any anatomic variant. We checked prospectively for ease (shortening of time) and performance (reproducibility of results by the supervised radiologist) for 3 months (September- November 2023) and compared with previous studies (May- July 2023) before...
Read more Findings and procedure details A total of 23 patients were seen (14 females, 9 males). A significant reduction in time, from an average time of 73 minutes to 35 minutes, was observed with satisfaction of skills and nearly 80% reproducibility of results on double check by supervising radiologist.
Read more Conclusion A simplified approach of 'DJPA' (DVT, Junctions, Perforators, Assessment of GSV diameter and anatomic variant) was found easy and reproducible resulting in short scanning times.LEARNING POINTSVenous insufficiency is a cause of substantial morbidity and medical expenditures. Diagnostic US evaluation of venous insufficiency requires a thorough understanding of the venous anatomy, including the deep, superficial, and perforator veins. The highly variable venous anatomy requires that operators use sound judgment to expand on protocol images and thus avoid missing important sources of...
Read more References 1. Vitale C, D'Abate F, Froio A. Needs of standardization in reporting a venous lower limb ultrasound exam for the assessment of varicose veins. Phlebology. 2021 Sep;36(8):665-667. doi: 10.1177/0268355521999147. Epub 2021 Mar 5. PMID: 33673744.2. Adler C, Mousa A, Rhee A, Patel MD. Varicose Veins of the Lower Extremity: Doppler US Evaluation Protocols, Patterns, and Pitfalls. Radiographics. 2022 Nov-Dec;42(7):2184-2200. doi: 10.1148/rg.220057. Epub 2022 Sep 30. PMID: 36178804. 
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