Abstract
This manuscript represents a literature review on evaluation mode of perforating vein incompetence and its clinical impact on chronic venous disease development. Perforating veins (PV) serve as a complex anatomical and functional structure which incompetence indicates possible pathological processes in superficial and deep veins. PV almost never become a reflux source and though never require to be treated to abolish its incompetence. At the same time accurate diagnostic evaluation of PV condition must be performed to distinguish PV incompetence from PV compensatory changes that correct effects of vertical venous refluxes.
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