Lower Extremity Varicose Veins
Key Points
Key Points
- Varicose veins of the lower extremities are among the most frequent medical conditions affecting millions of people worldwide.
- Chronic venous disease (CVD) may cause minimal symptoms, but varicose veins may often also be the source of discomfort, pain, swelling, thrombosis, bleeding and ulcerations, causing disability and a negative impact on physical, psychological, and social functioning components of quality of life.
- Patients with chronic venous insufficiency (CVI) may progress to phlebolymphedema, skin changes with chronic inflammation, and venous leg ulcerations.
Diagnosis
...gnosis...
...uation of Patients With Varicose Veins...
...ation and grading of clinical severity of...
Good Practice Statem...
...end the use of the 2020 updated Clinical S...
....2.We recommend the use of the revised Venous...
...oppler ultrasound scanning (DUS)...
...commendation...
...r patients with chronic venous disease of...
...lementation Remar...
...x is defined as a minimum value >500 ms of...
...ux of the GSV is defined as uninterrupted...
...tion of “pathologic” perforating veins in...
...od Practice Statemen...
....We recommend that evaluation of reflux with D...
...recommend that for evaluation of reflux with DUS,...
...ommend that a complete DUS examination for veno...
...nd that a complete DUS examination for ven...
...end that a complete DUS examination for...
...sensus Stateme...
...mptomatic patients with telangiectasias...
...2.In symptomatic CEAP Class C1 pati...
...omatic patients with varicose veins...
...symptomatic patients with varicose veins (CE...
...5.5.In patients with medial thigh or vulva...
Treatment
...atment...
...mpression Therapy...
...Compression therapy vs. int...
...ommendations...
...ents with symptomatic varicose veins and a...
...For patients with symptomatic varicose...
...atients with symptomatic varicose vein...
...ents with symptomatic varicose veins who are...
...ion therapy after intervention...
...ents undergoing thermal ablation for sap...
...acological Treatment
...mmendations...
...n symptomatic patients with varicose veins who a...
...matic patients with varicose veins...
...ions for Superficial Truncal Reflux...
...ablation vs. high ligation and strip...
...ecommendations...
...nts with symptomatic varicose veins a...
....2.For patients with symptomatic varicos...
...For patients with symptomatic varicose...
....4.For patients with symptomatic va...
...atients with symptomatic varicose...
...patients with symptomatic varicose...
...nts with symptomatic varicose veins and a...
...tients with symptomatic varicose veins and ax...
...hermal vs. non-thermal ablation of superfici...
...ecommendatio...
...atients with symptomatic axial reflux...
...tients with symptomatic axial reflux of the SSV...
...ts with symptomatic axial reflux of th...
...Factors Affecting Choice of Superficial Truncal A...
...ommendation...
...n symptomatic patients with C2 disease...
Consensus Statem...
...omatic patients with C2 disease, prophylac...
...ntions to treat varicose veins can be per...
...tients with symptomatic C2 disease, isolated SFJ i...
...tients with symptomatic C2 disease...
...tients with reflux in the below-knee GSV, ablatio...
....2.6.In patients with an epifascial or superficia...
...ients with large (>10 mm), non-aneurysmal saphe...
...incidence of superficial thrombophle...
...nts with uncomplicated C2 disease (no...
...Interventions to Preserve the GSV
...commendations...
...ents with the early stages of symptomatic vari...
....For patients with symptomatic varicose veins,...
...ment of Venous Tributar...
...ectasias and reticular veins...
...mendations...
...nts with symptomatic telangiectasias and...
...tients with symptomatic telangiectasia...
7.2. Varicose tri...
...commendation...
...ment of symptomatic varicose tribu...
...eatment of symptomatic varicose tributari...
...sus Statements...
...atients with symptomatic varicose...
...4.There is no clinical evidence that foa...
...e is currently no clinical study of sclerotherapy...
...tment of Varicose Tributaries Concomi...
...commendation...
...1.For patients with symptomatic reflux in the GSV...
8.1.2.For patients with symptomatic reflux...
...patients with symptomatic reflux in the GSV o...
...For patients with symptomatic reflux in the AAGSV...
...Clinical Practice Statement...
...ts with symptomatic reflux in the major su...
...ment of Recurrent Varicosities...
...sus Statements...
....For patients with symptomatic recurrent...
...nts with symptomatic recurrent varicosities due to...
...ts with symptomatic recurrent varicos...
...r patients with symptomatic recurrent v...
...patients with residual or recurrent varicosities...
...of Incompetent Perforating Ve...
...commendations
...0.1.1.For patients with varicose veins (CEAP...
...2.For patients with varicose veins...
...ensus Statement...
...or patients with incompetent pathologic perfora...
...Management of Ablation-related Th...
...1.1. Post-procedure D...
...commendati...
....1.1.In an average-risk patient who is...
...ensus Statement...
...In an average-risk patient who is as...
...high-risk patient who is asymptomatic fo...
...mmendation
...4.In patients who are symptomatic fol...
...acological thromboprophylaxis...
Recommendati...
....For high-risk patients undergoing en...
...onsensus State...
...1.2.2.For patients undergoing endovenou...
...reatment of varicose vein procedure rela...
...ommendations...
...ients with acute isolated distal DVT af...
...For patients with isolated distal DVT after var...
....3.3.For patients with acute proximal DVT a...
...patients with symptomatic ARTE after endoveno...
...We endorsed the recommendations of Steven...
...ensus Statements...
...1.For patients with asymptomatic ARTE III and...
....2.For patients who receive anticoagulation...
...ement of Superficial Vein Thrombosis...
...ion 12 addresses the management of SVT in patients...
...ommendation...
....For patients with SVT of the main saphenous...
...sus Statement...
...r patients with SVT of the main saphenous...
...ommendations
...3.For patients with SVT of the main saphenous trun...
...selected patients with isolated thrombosis of...
...sensus Stateme...
...nts with saphenous thrombophlebitis, ablation s...
...nagement of Bleeding Varicose Veins...
...nsensus Statement...
...For patients presenting with acute bleeding from...
...2.For patients with bleeding due to var...
...s who presented with bleeding from varicose vei...
...ents with varicose veins or venous u...
...gement of Superficial Vein Aneurysms...
...sensus Statements...
...For patients with superficial truncal vein...
...patients with an asymptomatic superficial t...
...with symptomatic, thrombosed or large (>3 cm) ane...
...1. Revised VCSSHaving trouble viewing table?...
Table 2. Veno-active Drugs for CVDaHavin...
...re 1. Anatomy of GSV and Its Tributar...
...omy of SSV and Its Tributariesn.,...
...rating Veins of the LegPTV, posterior tibial vein...