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...
1. Evaluation of Patients With...
....1. Classification and grading of clinical severit...
...actice Statements
...nd the use of the 2020 updated Clinical Stage, Eti...
...1.2.We recommend the use of the revised Ven...
...Doppler ultrasound scanning (DUS)...
...ommendatio...
...2.1.For patients with chronic venous disease o...
...ementation Remarks...
....3.1.Reflux is defined as a minimum value...
...al reflux of the GSV is defined as unin...
...inition of “pathologic” perforati...
...od Practice Statement...
...recommend that evaluation of refl...
...mend that for evaluation of reflux wi...
...e recommend that a complete DUS examinat...
...e recommend that a complete DUS examina...
...recommend that a complete DUS examination f...
...onsensus Statement...
...ymptomatic patients with telangiectasias...
....In symptomatic CEAP Class C1 patients with b...
...mptomatic patients with varicose veins (CEAP Class...
...omatic patients with varicose veins (CEAP Class...
1.5.5.In patients with medial thigh...
Treatment
Treatment
2. Compression T...
....1. Compression therapy vs. int...
...ecommendations
...For patients with symptomatic varicose veins an...
...For patients with symptomatic varicose ve...
...ts with symptomatic varicose veins and axia...
2.1.4.In patients with symptomatic var...
...Compression therapy after interventi...
....1.In patients undergoing thermal ablati...
.... Pharmacological Tr...
...mendations...
...In symptomatic patients with varicose v...
...ptomatic patients with varicose veins who are no...
...ntions for Superficial Truncal Reflux...
...Endovenous ablation vs. high ligation and stripp...
...commendatio...
....For patients with symptomatic varicose...
...r patients with symptomatic varicose v...
4.1.3.For patients with symptomatic v...
...ts with symptomatic varicose veins and axial re...
...patients with symptomatic varicose veins and a...
...For patients with symptomatic varic...
...ients with symptomatic varicose veins an...
...or patients with symptomatic varicose...
...Thermal vs. non-thermal ablation of superficial tr...
...mendations...
...ents with symptomatic axial reflux of the GSV,...
....2.2.For patients with symptomatic axial reflux...
...2.3.For patients with symptomatic axial reflux of...
...ors Affecting Choice of Superficial T...
...commendation...
...mptomatic patients with C2 disease we sug...
...nsensus Statemen...
...asymptomatic patients with C2 disease, pro...
...tions to treat varicose veins can be p...
...atients with symptomatic C2 disease, isolated...
...ients with symptomatic C2 disease, ablation o...
...2.5.In patients with reflux in the below-knee G...
...patients with an epifascial or superficia...
...atients with large (>10 mm), non-aneurysm...
...nce of superficial thrombophlebitis has been rep...
...9.In patients with uncomplicated C2 disease (no ve...
...terventions to Preserve the GSV...
...mendations...
....1.For patients with the early stages of sy...
...ts with symptomatic varicose veins, we sug...
.... Treatment of Venous Tributarie...
...ctasias and reticular veins...
...mendations...
7.1.1.For patients with symptomatic telangiec...
...ts with symptomatic telangiectasias...
....2. Varicose tributaries...
...ecommendati...
...ment of symptomatic varicose tributaries, we reco...
...ment of symptomatic varicose tributaries, we su...
...onsensus State...
...ts with symptomatic varicose tributaries, treatme...
...s no clinical evidence that foam sclerotherapy...
...is currently no clinical study of scl...
8. Treatment of Varicose Tributaries Concomittant...
...commendation...
...or patients with symptomatic reflux in the GSV o...
...ients with symptomatic reflux in the AAGSV...
...For patients with symptomatic reflux in the G...
...1.4.For patients with symptomatic reflux in...
Good Clinical Practice Statement
...tients with symptomatic reflux in the major...
9. Management of Recurrent Varic...
...sus Statements...
...tients with symptomatic recurrent varicosit...
...ents with symptomatic recurrent varicosit...
...patients with symptomatic recurrent varicosities d...
...For patients with symptomatic recu...
...1.5.For patients with residual or recurrent var...
...of Incompetent Perforating Veins...
...mmendations...
...or patients with varicose veins (CEAP clas...
10.1.2.For patients with varicose veins (CEA...
...nsus Statement
...2.For patients with incompetent pathologic pe...
...Management of Ablation-related Thr...
....1. Post-procedure DUS...
...mmendation...
....1.In an average-risk patient who is as...
...sensus Statemen...
...In an average-risk patient who is asymptom...
...n a high-risk patient who is asympto...
...commendati...
....1.4.In patients who are symptomati...
...harmacological thromboprophylaxis...
...mmendation...
...high-risk patients undergoing endoveno...
...onsensus State...
...r patients undergoing endovenous abl...
...of varicose vein procedure related DVT...
...mendationsb
11.3.1.For patients with acute isolated distal D...
....2.For patients with isolated distal DVT aft...
...atients with acute proximal DVT after var...
...atients with symptomatic ARTE after...
b We endorsed the recommendations o...
...sensus Statement...
...patients with asymptomatic ARTE III and IV...
...ents who receive anticoagulation for ARTE foll...
.... Management of Superficial Vein Thrombosis (S...
...ation 12 addresses the management of SVT in patie...
...ommendatio...
....1.For patients with SVT of the main...
...sensus Statemen...
...2For patients with SVT of the main sa...
Recommendat...
...or patients with SVT of the main saph...
...ected patients with isolated thrombosis of v...
Consensus Sta...
...ts with saphenous thrombophlebitis...
...3. Management of Bleeding Varicose Vei...
...nsensus Statements...
...nts presenting with acute bleeding fr...
...ients with bleeding due to varicose veins, prom...
...For patients who presented with bleeding f...
...4.Patients with varicose veins or venous u...
...ent of Superficial Vein Aneurysms...
...nsensus Stateme...
...nts with superficial truncal vein aneurysm, locat...
...r patients with an asymptomatic supe...
...ts with symptomatic, thrombosed or larg...
...1. Revised VCSSHaving trouble viewing table?...
...o-active Drugs for CVDaHaving trouble viewing...
...natomy of GSV and Its Tributariesa., artery;...
...2. Anatomy of SSV and Its Tributariesn...
...3. Perforating Veins of the LegPTV, po...