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
...iagnosi...
...Evaluation of Patients With Varic...
1.1. Classification and grading of...
...actice Statements...
...ecommend the use of the 2020 updated Cl...
...1.2.We recommend the use of the revised...
....5. Doppler ultrasound scanning (DUS...
...ecommendati...
...patients with chronic venous disease of t...
...lementation Rem...
...s defined as a minimum value >500 ms of...
...al reflux of the GSV is defined as...
...on of “pathologic” perforating vein...
...actice Statements...
...commend that evaluation of reflux with DUS be per...
....We recommend that for evaluation of...
...recommend that a complete DUS examination fo...
...mmend that a complete DUS examination...
....We recommend that a complete DUS exami...
...nsensus Statements...
...symptomatic patients with telangiectas...
...2.In symptomatic CEAP Class C1 patien...
...symptomatic patients with varicose...
...n symptomatic patients with varicose vein...
...s with medial thigh or vulvar varicosities evalu...
Treatment
...atment
...ression Therapy...
2.1. Compression therapy vs. interventio...
...mendations...
...tients with symptomatic varicose veins and axial r...
2.1.2.For patients with symptomatic varicose v...
...ients with symptomatic varicose veins...
...nts with symptomatic varicose veins who...
...2. Compression therapy after inte...
...s undergoing thermal ablation for saphenous incom...
.... Pharmacological Treatment...
...mmendations...
....In symptomatic patients with varicos...
....In symptomatic patients with varicose veins...
...Interventions for Superficial Truncal R...
...venous ablation vs. high ligation and...
...mmendations...
...1.For patients with symptomatic varicose v...
...or patients with symptomatic varicose veins and ax...
...ents with symptomatic varicose veins and...
...nts with symptomatic varicose veins and ax...
...r patients with symptomatic varicose veins a...
....6.For patients with symptomatic varicose veins...
...r patients with symptomatic varicose vein...
4.1.8.For patients with symptomatic varicose...
...2. Thermal vs. non-thermal ablation of...
...commendations...
...patients with symptomatic axial reflux of the GSV...
....For patients with symptomatic axial re...
...patients with symptomatic axial reflux of t...
5. Factors Affecting Choice of Superfi...
...commendation...
...atic patients with C2 disease we suggest...
...ensus Statement...
...matic patients with C2 disease, prophy...
...ventions to treat varicose veins can be performe...
...ts with symptomatic C2 disease, isolated SFJ i...
....In patients with symptomatic C2 disease, ablatio...
...ents with reflux in the below-knee GSV, abla...
...ents with an epifascial or superficial saph...
...nts with large (>10 mm), non-aneurysmal saphenous...
....2.8.The incidence of superficial th...
...In patients with uncomplicated C2 d...
...nterventions to Preserve the GSV
...ecommendations...
...1.1.For patients with the early stages of sympt...
....2.For patients with symptomatic varicose...
...reatment of Venous Tribu...
...ctasias and reticular veins...
...ecommendatio...
...nts with symptomatic telangiectasias and r...
...1.2.For patients with symptomatic telangiectasias...
...ricose tributaries...
...commendati...
...2.1.For treatment of symptomatic varico...
...tment of symptomatic varicose tributarie...
...nsus Statements...
....3.For patients with symptomatic varicose...
...2.4.There is no clinical evidence that foam scl...
...ere is currently no clinical study...
...tment of Varicose Tributaries Concomitt...
...ommendations...
...ients with symptomatic reflux in the GSV or...
...patients with symptomatic reflux in the AAGSV or...
...atients with symptomatic reflux in the GSV...
...atients with symptomatic reflux in the AAGS...
...ical Practice Statement...
...ients with symptomatic reflux in the major su...
...agement of Recurrent Varicosi...
...sensus Statements...
...ients with symptomatic recurrent varicosities,...
...r patients with symptomatic recurrent varicosities...
....For patients with symptomatic recurren...
...or patients with symptomatic recurrent varicosi...
...patients with residual or recurrent varico...
...tion of Incompetent Perforating Veins...
...mmendations...
10.1.1.For patients with varicose ve...
...ients with varicose veins (CEAP class C2)...
...nsensus Statement
...r patients with incompetent patholog...
...1. Management of Ablation-related...
...Post-procedure DUS...
Recommendatio...
....In an average-risk patient who is asymptomatic f...
...nsensus Stateme...
....1.2.In an average-risk patient who is as...
...high-risk patient who is asymptomatic following t...
...ecommendat...
...ents who are symptomatic following thermal or n...
...rmacological thromboprophylaxis...
...ommendation...
11.2.1.For high-risk patients undergo...
Consensus Sta...
...or patients undergoing endovenous ablation...
...1.3. Treatment of varicose vein procedure related...
...commendationsb
...ients with acute isolated distal DVT af...
...ents with isolated distal DVT after varicose...
...1.3.3.For patients with acute proximal...
...4.For patients with symptomatic ARTE a...
...We endorsed the recommendations of S...
...onsensus Statemen...
....4.1.For patients with asymptomatic ARTE III and...
...tients who receive anticoagulation for ARTE f...
...nagement of Superficial Vein Thrombosis...
...ommendation 12 addresses the management of SVT...
...mmendation...
....1.1.For patients with SVT of the ma...
...nsus Statemen...
...ients with SVT of the main saphenous trunks...
...mendations...
...1.3.For patients with SVT of the main sap...
...For selected patients with isolated thrombosis o...
...onsensus Stat...
...2.1.5.In patients with saphenous th...
...Management of Bleeding Varicose Veins...
...nsus Statements...
...nts presenting with acute bleeding from...
...r patients with bleeding due to va...
...3.For patients who presented with ble...
...ith varicose veins or venous ulcerations should...
...agement of Superficial Vein Aneurysm...
...ensus Statements...
....For patients with superficial trunc...
....For patients with an asymptomatic superfici...
...ts with symptomatic, thrombosed or large (>...
...Revised VCSSHaving trouble viewing table? Ex...
...le 2. Veno-active Drugs for CVDaHa...
...my of GSV and Its Tributariesa., arter...
...Anatomy of SSV and Its Tributariesn., nerve;...
...rating Veins of the LegPTV, posterior tibial vei...