We next determine which pattern of great saphenous vein (GSV) or small saphenous vein (SSV) reflux exists for classification and treatment:
- Segmental reflux - reflux source or origin from a tributary or perforating vein distal to the saphenous junction and reflux drainage through a tributary or perforating vein in the thigh, knee or calf.
- Distal reflux - reflux source or origin from a tributary or perforating vein distal to the saphenous junction and drainage through veins at the ankle.
- Proximal reflux - reflux source at the saphenous junction and drainage thorugh tributary or perforating vein at the thigh or calf, but proximal to the ankle.
- Multisegmental reflux - Two or more reflux segments with five basic types - proximal segmental, proxmal distal, segemental segmental, segmental distal and proximal segmental distal.
- Diffuse reflux - reflux source at the saphenous junction and drainage at the ankle and no discernable patern or from of the great sapehnous vein.
- Perijunction reflux -
- Normal pattern - absence of extension into the saphenous vein down to the ankle
This pattern utilized is from CA Engelhorn from Phlebology 2012; 27: 25-32.
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