Evaluation of Lower Limb Venous Incompetence and Varicosities Using Doppler Ultrasound

A. Fathelrahman, Samia; Hamad AL Hadisan, Faisal; Abdulaziz Alzhrani, Sadeem; Mohammed Mushbari, Taif; H. Khalid, Nagla; T. Ahmed, Albosairi

doi:10.21608/ejhc.2025.428887

Evaluation of Lower Limb Venous Incompetence and Varicosities Using Doppler Ultrasound

Document Type : Original Article

Authors

¹ Department of Radiological Sciences, College of Applied Medical Sciences, Najran University, Najran

² Graduate at Department of Radiological Sciences, College of Applied Medical Sciences, Najran University, Najran

³ Student at Department of Radiological Sciences, College of Applied Medical Sciences, Najran University, Najran

10.21608/ejhc.2025.428887

Abstract

Background: lower extremities varicose veins are one of the common diseases with widely varying prevalence. In recent years, advanced imaging techniques have developed the field of varicose vein diagnosis and evaluation. Doppler ultrasound (US) serves as the standard first-line tool for evaluating lower limb Varicose. Aim of the study: this study aimed to evaluate the prevalence of venous incompetence and the types and distribution of varicosities in lower limb veins using Doppler ultrasound. Research Design: A cross-sectional study carry out at ultrasound department in King Fahad General Hospital – Jeedah, It sought to understand the associated complications and the correlation between age and the severity of findings in the study population. Study subjects: A total of 100 patients, 27 males (27%) and 73 females (73%), with a mean age of 47.8years, were enrolled for the study from ultrasound department. Tools of data collection: Doppler ultrasound was utilized for venous assessment, focusing on the great saphenous vein, short saphenous vein, sapheno-femoral junction, and perforating veins. Varicosities were classified as reticular or segmental, and complications such as mild edema and superficial thrombophlebitis were assessed. Results: it was revealed from the study that a high prevalence of venous incompetence, with the great saphenous vein were showing incompetence in 47% of cases. Also, Varicosities were present in 90% of participants, mostly reticular. And, the Associated complications included mild edema (17%) and superficial thrombophlebitis (4%). Conclusion: A significant correlation was found between age and severity of venous findings, with older patients revealing more severe incompetence and extensive varicosities.

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