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Dr — 1. I Recently Underwent A Peripheral Venous Doppler
Question: Dr —
1. I recently underwent a peripheral venous Doppler of bilateral lower extremity’s venous mapping
2. My results are as follows:
A) Varicose veins with pain
B) Varicose vein’s with other complications
C) Chronic venous hypertension
3. The impression was as follows
A) Negative for deep venous thrombosis
B) Positive for Venus valvular insufficiency in bilateral great saphenous vein’s
C) Positive for Venus valvular insufficiency in bilateral small saphenous vein’s
D) There is evidence of left calf in competent perforator
4. Can you please review these results and provide me an analysis. I have also attached a copy of my results thank you
1. I recently underwent a peripheral venous Doppler of bilateral lower extremity’s venous mapping
2. My results are as follows:
A) Varicose veins with pain
B) Varicose vein’s with other complications
C) Chronic venous hypertension
3. The impression was as follows
A) Negative for deep venous thrombosis
B) Positive for Venus valvular insufficiency in bilateral great saphenous vein’s
C) Positive for Venus valvular insufficiency in bilateral small saphenous vein’s
D) There is evidence of left calf in competent perforator
4. Can you please review these results and provide me an analysis. I have also attached a copy of my results thank you
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that first it is necessary to investigate the exact cause of chronic venous hypertension.
For such purpose it is recommended at least a cardiac ultrasound test and also pulmonary angio CT.
Once the reason of venous hypertension is properly diagnosed and treated, then close follow up for detecting any symptomatology changes (regarding especially pain) would be helpful.
Treatment options for varicose veins include conservative measures like compressive socks and medications; and also invasive ones like radiofrequency veins cauterisation and surgery.
The strategy will depend on the degree of limb veins insufficiency and also by the local expertise.
You should discuss with your attending physician on the above mentioned issues.
Hope to have neen helpful!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that first it is necessary to investigate the exact cause of chronic venous hypertension.
For such purpose it is recommended at least a cardiac ultrasound test and also pulmonary angio CT.
Once the reason of venous hypertension is properly diagnosed and treated, then close follow up for detecting any symptomatology changes (regarding especially pain) would be helpful.
Treatment options for varicose veins include conservative measures like compressive socks and medications; and also invasive ones like radiofrequency veins cauterisation and surgery.
The strategy will depend on the degree of limb veins insufficiency and also by the local expertise.
You should discuss with your attending physician on the above mentioned issues.
Hope to have neen helpful!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr —
1. At this point the only consistent symptom that I feel — is cold feet on a regular basis especially in the winter
2. How serious do you think the situation is?
3. Are there any other signs or symptoms that I should watch for — that may trigger a more urgent situation?
Thank you.
1. At this point the only consistent symptom that I feel — is cold feet on a regular basis especially in the winter
2. How serious do you think the situation is?
3. Are there any other signs or symptoms that I should watch for — that may trigger a more urgent situation?
Thank you.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
The cold feet are not related to these Doppler findings.
Varicose veins are usually associated with swollen feet after standing up position or skin changes.
The most important finding is the increased venous pressure, which needs further investigation (as above mentioned).
Symptoms to consider would be shortness of breath.
Hope you will find this information helpful!
Wishing all the best,
Dr.Iliri
I would explain as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
The cold feet are not related to these Doppler findings.
Varicose veins are usually associated with swollen feet after standing up position or skin changes.
The most important finding is the increased venous pressure, which needs further investigation (as above mentioned).
Symptoms to consider would be shortness of breath.
Hope you will find this information helpful!
Wishing all the best,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Dr —
1. Would it be OK for me to speak with and visit with my cardiologist in the next week or two — To discuss the situation?
2. Or do you feel that I should take more urgent action than that and possibly go to the emergency room?
3. My test was negative for DVT
Thanks—
1. Would it be OK for me to speak with and visit with my cardiologist in the next week or two — To discuss the situation?
2. Or do you feel that I should take more urgent action than that and possibly go to the emergency room?
3. My test was negative for DVT
Thanks—
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
I think that as long as you are free of symptoms, it can wait until consulting with your cardiologist and discussing about the above tests and there is no need to go to the ER.
I am glad to hear that your test was negative of DVT, but further investigations are needed to find the cause underlying increased venous pressure.
Hope you will find this information helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing good health,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
I think that as long as you are free of symptoms, it can wait until consulting with your cardiologist and discussing about the above tests and there is no need to go to the ER.
I am glad to hear that your test was negative of DVT, but further investigations are needed to find the cause underlying increased venous pressure.
Hope you will find this information helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing good health,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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