Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1970 Jan 24;1(5690):195–197. doi: 10.1136/bmj.1.5690.195

Thermographic Localization of Incompetent Perforating Veins in the Leg

K D Patil, J R Williams, K Lloyd Williams
PMCID: PMC1699323  PMID: 4904934

Abstract

Incompetent perforating veins in the leg were localized separately by clinical and thermographic methods. Clinically, the methods used were a multiple tourniquet test and palpation for fascial defects. Thermographically, the diagnosis of an incompetent perforator was made by finding rapid and localized heat flow to the skin in a cooled limb with occlusion of circulation in the superficial veins distally and proximally. Exploration of all the sites marked clinically or thermographically showed that the clinical method detected 60%, missed 40%, and gave false-positive results in 40%, while thermography detected 94·5%, missed 5·5%, and contributed 13% false-positive results. All these findings show a highly significant difference (P<0.0005) in favour of the thermographic technique as against the clinical method.

Full text

PDF
195

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ALMEN T., NYLANDER G. Serial phlebography of the normal lower leg during muscular contraction and relaxation. Acta radiol. 1962 Jul;57:264–272. doi: 10.3109/00016926209171754. [DOI] [PubMed] [Google Scholar]
  2. BARNES R. B. Thermography of the human body. Science. 1963 May 24;140(3569):870–877. doi: 10.1126/science.140.3569.870. [DOI] [PubMed] [Google Scholar]
  3. COCKETT F. B., JONES D. E. E. The ankle blow-out syndrome; a new approach to the varicose ulcer problem. Lancet. 1953 Jan 3;1(6749):17–23. doi: 10.1016/s0140-6736(53)92512-4. [DOI] [PubMed] [Google Scholar]
  4. GREITZ T. Phlebography of the normal leg. Acta radiol. 1955 Jul;44(1):1–20. doi: 10.3109/00016925509170777. [DOI] [PubMed] [Google Scholar]
  5. HORVATH S. M., RUBIN A., FOLTZ E. L. Thermal gradients in the vascular system. Am J Physiol. 1950 May;161(2):316–322. doi: 10.1152/ajplegacy.1950.161.2.316. [DOI] [PubMed] [Google Scholar]
  6. LOFGREN K. A., MYERS T. T., WEBB W. D., Jr Recurrent varicose veins. Surg Gynecol Obstet. 1956 Jun;102(6):729–736. [PubMed] [Google Scholar]
  7. LUKE J. C. The management of recurrent varicose veins. Surgery. 1954 Jan;35(1):40–44. [PubMed] [Google Scholar]
  8. MATHIESEN F. R. Clinical manifestations of primary varicose veins. II. An evaluation of incompetent communicating veins diagnosed by tilting phlebography. Acta Chir Scand. 1959 Oct 24;117:468–479. [PubMed] [Google Scholar]
  9. MATHIESEN F. R. [Late results following 293 operations for varicose veins; significance of surgical procedure and communicating veins]. Acta Chir Scand. 1953;105(5):376–389. [PubMed] [Google Scholar]
  10. Massell T. B., Ettinger J. Phlebography in the Localization of Incompetent Communicating Veins in Patients with Varicose Veins. Ann Surg. 1948 Jun;127(6):1217–1225. doi: 10.1097/00000658-194806000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. ROSENBERG N., MARCHESE F. P. Perforator vein localization by heat emission detection. Surgery. 1963 May;53:575–578. [PubMed] [Google Scholar]
  12. ROSENBERG N., STEFANIDES A. THERMOGRAPHY IN THE MANAGEMENT OF VARICOSE VEINS AND VENOUS INSUFFICIENCY. Ann N Y Acad Sci. 1964 Oct 9;121:113–117. doi: 10.1111/j.1749-6632.1964.tb13690.x. [DOI] [PubMed] [Google Scholar]
  13. SORENSEN K. H. SURGICAL TREATMENT FOR VENOUS INSUFFICIENCY OF THE LOWER LIMB WITH SEVERE TROPHIC CHANGES, ESPECIALLY LEG ULCER. CLINICAL AND OPERATIVE IDENTIFICATION OF INCOMPETENT COMMUNICATING VEINS AND ATTEMPTED DETERMINATION OF THEIR SIZE. Acta Chir Scand. 1964 Jun;127:597–608. [PubMed] [Google Scholar]
  14. Sherman R. S. Varicose Veins: Further Findings based on Anatomic and Surgical Dissections. Ann Surg. 1949 Aug;130(2):218–232. doi: 10.1097/00000658-194908000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Townsend J., Jones H., Williams J. E. Detection of incompetent perforating veins by venography at operation. Br Med J. 1967 Sep 2;3(5565):583–585. doi: 10.1136/bmj.3.5565.583. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. WILLIAMS K. L. INFRARED THERMOMETRY AS A TOOL IN MEDICAL RESEARCH. Ann N Y Acad Sci. 1964 Oct 9;121:99–112. doi: 10.1111/j.1749-6632.1964.tb13689.x. [DOI] [PubMed] [Google Scholar]
  17. WILLIAMS K. L. PICTORIAL HEAT SCANNING. Phys Med Biol. 1964 Oct;9:433–456. doi: 10.1088/0031-9155/9/4/201. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES