Evaluation of perforating venous insufficiency with shear wave elastography: a preliminary study

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ORIGINAL PAPER

Evaluation of perforating venous insufficiency with shear wave elastography: a preliminary study Mehmet Sedat Durmaz1   · Uğur Kesimal2   · Hasan Ali Ünal3   · Bora Özbakır4  Received: 11 June 2020 / Accepted: 18 August 2020 © Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2020

Abstract Purpose  The aim of this study was to investigate the efficacy of shear wave elastography (SWE) in the diagnosis of perforating vein insufficiency, and to determine the applicability of these measurements. Methods  A total of 140 symptomatic patients with a total of 280 lower extremities were investigated. All patients presented with venous insufficiency (VI) symptoms, and received Doppler ultrasound assessment to determine VI and SWE measurements. The SWE values were measured in the adjacent perivenous tissue of the largest Cockett’s perforating vein (PV) of both lower extremities, at the level where they pass the fascia. The Cockett’s PV diameter and the presence of reflux in Cockett’s PV and the great saphenous vein were compared with SWE values in perivenous tissue of PVs. Results  The SWE values of the perforating vein insufficiency group were significantly higher than those of the normal PV without insufficiency group (P