Doppler ultrasound study and venous mapping in chronic venous insufficiency

Radiologia. Jan-Feb 2016;58(1):7-15. doi: 10.1016/j.rx.2015.10.006. Epub 2015 Dec 4.
[Article in En, Spanish]


Chronic venous insufficiency of the lower limbs is very prevalent. In recent decades, Doppler ultrasound has become the method of choice to study this condition, and it is considered essential when surgery is indicated. This article aims to establish a method for the examination, including venous mapping and preoperative marking. To this end, we review the venous anatomy of the lower limbs and the pathophysiology of chronic venous insufficiency and explain the basic hemodynamic concepts and the terminology required to elaborate a radiological report that will enable appropriate treatment planning and communication with other specialists. We briefly explain the CHIVA (the acronym for the French term "cure conservatrice et hémodynamique de l'insuffisance veineuse en ambulatoire"=conservative hemodynamic treatment for chronic venous insufficiency) strategy, a minimally invasive surgical strategy that aims to restore correct venous hemodynamics without resecting the saphenous vein.

Keywords: CHIVA; Cartografía venosa; Doppler ultrasound; Ecografía Doppler; Insuficiencia venosa; Shunt venovenoso; Varices; Vein mapping; Venous insufficiency; Venovenous shunt.

Publication types

  • Review

MeSH terms

  • Humans
  • Ultrasonography, Doppler*
  • Veins / diagnostic imaging
  • Venous Insufficiency / diagnostic imaging*