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Classification of Venous Reflux Disease of the Saphenous Vein - Los Angeles Vein Specialist Dr. Raffy Karamanoukian www.SantaMonicaVeinCenter.com
Wednesday, February 13, 2013

 

 

We next determine which pattern of great saphenous vein (GSV) or small saphenous vein (SSV) reflux exists for classification and treatment:

 

  1. 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.
  2. Distal reflux - reflux source or origin from a tributary or perforating vein distal to the saphenous junction and drainage through veins at the ankle.
  3. 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.
  4. Multisegmental reflux - Two or more reflux segments with five basic types - proximal segmental, proxmal distal, segemental segmental, segmental distal and proximal segmental distal.
  5. Diffuse reflux - reflux source at the saphenous junction and drainage at the ankle and no discernable patern or from of the great sapehnous vein.
  6. Perijunction reflux -
  7. 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.  

 

Dr. Raffy Karamanoukian, a Board Certified Plastic Surgeon appeared on The Doctors TV Show again on 1-30-2013 where he revised a face lift for a patient who also had issues with her ear lobes.

 

Watch the episode on The Doctors TV Show featuring Dr. Raffy Karamanoukian of www.KareMD.com and www.Surgery90210.com

 

 

 

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