WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • Scientific Journal Impact Factor (SJIF)
  • IFSIJ Measure of Journal Quality
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
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  • International Scientific Indexing ( ISI )
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  • Scope Database
  • Research Publication Rating and Indexing
  • Doi-Digital Online Identifier
  • ISSN National Centre
  • Zenodo Indexing
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Abstract

ROLE OF THE ANKLE PUMP MANEUVER IN THE ASSESSMENT OF INCOMPETENT CALF PERFORATOR VEINS USING DUPLEX ULTRASOUND IN PATIENTS WITH VARICOSE VEINS

*Dr. Noor Mohammed Jawad Mohammed M.B.Ch.B, Prof. Dr. Mohammed Abd Kadhim M. B. Ch. B., F. I. B. M. S.

ABSTRACT

Background: Incompetent calf perforator veins are a major contributor to chronic venous disease and recurrence of varicose veins. Aim: To evaluate the diagnostic performance of the ankle pump maneuver in detecting incompetent calf perforator veins using duplex ultrasound. Methods: A cross-sectional study was conducted on 50 patients with clinically diagnosed varicose veins. Three provocative methods were compared: manual compression in standing, manual compression in sitting, and ankle pump in sitting. Results: The ankle pump maneuver demonstrated the highest detection rate (90%) and significantly longer reflux duration compared with other methods (p < 0.001). Conclusion: The ankle pump maneuver is superior to conventional compression techniques and should be incorporated into routine venous Doppler evaluation.

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