Venous Insufficiency in Pediatric Patients

Melike Elif TEKER AÇIKEL, Bekir İNAN
2019 Bezmialem Science  
Objective: The diagnosis and treatment of chronic venous disease has been well standardized in adults. However, the diagnosis of chronic venous insufficiency in pediatric patients, except for Klippel-Trénaunay syndrome and post-thrombotic syndrome, could not be established. In this retrospective study, we planned to present pediatric patients diagnosed with venous insufficiency by our clinic. , patients under 18 years of age who were referred to our clinic were included in this study. Venous
more » ... pler ultrasonography was performed in patients and reflux in deep and superficial veins was evaluated. The reflux time is simply duration of inverse flow. A reflux time of >500 ms was used to define the valve insufficiency of the superficial and perforating veins. A reflux time of >1 s was used to define the valve insufficiency of the deep venous system. Venous reflux parameters were compared using t-test. Results: Twenty-five patients were identified in this study. The mean age of the patients was 12 (4-17) years. As a result of clinical examination, 11 patients had varicose venous or venous malformation, 9 patients had swelling (pedal edema), and 6 patients had edema or venous ulcer. Two patients had normal examination findings. Chronic inflammation, hyperpigmentation was not present. No venous thrombomboemboli story was available in any patient. Conclusion: The uncertainty of the factors that cause venous reflux in children still maintains itself today. However, this uncertainty will continue for a long time as the methods used in the diagnosis and treatment of chronic venous disease are the same in both adults and children.
doi:10.14235/bas.galenos.2019.3115 fatcat:es6356hej5eftpzvhvhoy2ub3u