Ann Phlebology.  2023 Dec;21(2):60-62. 10.37923/phle.2023.21.2.60.

Proper Preparations for the Ultrasonographic Evaluation of Varicose Veins of the Lower Extremities - The 2023 Korean Society for Phlebology Clinical Practice Guidelines

• Kim W
• Kim TS
• Yun S
• Ohe H
• Lee SC
• Lee SH
• Yun SS

• KMID: 2549973
• DOI: http://doi.org/10.37923/phle.2023.21.2.60

Abstract

In the diagnosis of varicose veins, duplex ultrasound scanning is recommended as the diagnostic test of choice. Both superficial and deep veins must be tested accurately and consistently in a standardized manner. Ultrasonography, while effective, is highly dependent on the examiner and requires standardization. To ensure reliable results, it is crucial to obtain high-quality images of superficial veins using a high-frequency linear array transducer during ultrasound examinations of the lower extremities. Image optimization techniques should be employed to minimize artificial images and enhance diagnostic quality. When conducting ultrasound examinations of the lower extremities, specifically for varicose veins, performing the venous reflux test in a standing position is essential. This positioning allows for testing under conditions more similar to physiological ones, ensuring a more accurate assessment of pathological reflux influence.

Keyword

Varicose vein; Ultrasound; Reflux; Diagnosis; Guideline