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...
...valuation of Patients With Varicose Veins
...ication and grading of clinical severity of chr...
...ractice Statement...
1.1.1.We recommend the use of the 2020 updated C...
...commend the use of the revised Venous Clinical Se...
...“1.5. Doppler ultrasound scanning (DUS)...
...ommendatio...
...2.1.For patients with chronic veno...
...entation Remarks...
...flux is defined as a minimum value >500 ms of...
1.3.2.Axial reflux of the GSV is defined as unint...
...ion of “pathologic†perforating veins in...
...actice Statements...
....We recommend that evaluation of reflux with DU...
...mmend that for evaluation of reflux with DUS,...
....We recommend that a complete DUS exa...
...recommend that a complete DUS exami...
...ommend that a complete DUS examination...
...ensus Statements...
...1.In asymptomatic patients with telangi...
...tomatic CEAP Class C1 patients wit...
...ymptomatic patients with varicose veins (CEAP Clas...
1.5.4.In symptomatic patients with varicose vei...
...tients with medial thigh or vulvar varico...
Treatment
Treatmen...
...mpression Therapy
...Compression therapy vs. interve...
...ecommendations
...1.For patients with symptomatic varicose ve...
....For patients with symptomatic varicose ve...
...ients with symptomatic varicose veins and axial r...
...atients with symptomatic varicose...
...ession therapy after intervention...
...In patients undergoing thermal ablation for...
3. Pharmacological Treat...
...ommendations...
....In symptomatic patients with varicose veins wh...
...symptomatic patients with varicose veins who...
...ions for Superficial Truncal Reflux...
...1. Endovenous ablation vs. high ligation an...
...ommendations...
....1.For patients with symptomatic varicose v...
...nts with symptomatic varicose veins and axial re...
...1.3.For patients with symptomatic...
...1.4.For patients with symptomatic varicose...
...nts with symptomatic varicose veins and axial...
....6.For patients with symptomatic vari...
4.1.7.For patients with symptomatic varicos...
...For patients with symptomatic varicose v...
...ermal vs. non-thermal ablation of superf...
Recommendation...
...ents with symptomatic axial reflux of the GSV,...
...tients with symptomatic axial reflux of the SSV...
...patients with symptomatic axial reflux of...
...Factors Affecting Choice of Superfic...
...mmendation...
...symptomatic patients with C2 disease we sugg...
...sensus Statements...
....2.1.In asymptomatic patients with C...
....2.Interventions to treat varicose vei...
...n patients with symptomatic C2 disease, isolate...
....4.In patients with symptomatic C2 dise...
....In patients with reflux in the below-knee GS...
...patients with an epifascial or superficial saphen...
...nts with large (>10 mm), non-aneury...
...incidence of superficial thrombophlebitis has...
...ents with uncomplicated C2 disease (...
...Interventions to Preserve the GS...
...ecommendati...
....1.1.For patients with the early stages...
...ients with symptomatic varicose veins, we sug...
...ment of Venous Tributaries...
...1. Telangiectasias and reticular vein...
...ommendations...
...ents with symptomatic telangiectasi...
...For patients with symptomatic telangiectas...
...aricose tributaries...
...commendations...
...1.For treatment of symptomatic varicose t...
...treatment of symptomatic varicose t...
...ensus Statement...
7.2.3.For patients with symptomatic varico...
...here is no clinical evidence that...
...here is currently no clinical study of scler...
...ent of Varicose Tributaries Concomittant or S...
...commendations
...patients with symptomatic reflux in the GSV or...
...ients with symptomatic reflux in the AA...
8.1.3.For patients with symptomatic reflux...
...r patients with symptomatic reflux in the AAGSV o...
...linical Practice Statement...
...s with symptomatic reflux in the major superfi...
...nagement of Recurrent Varicosi...
Consensus Statemen...
...nts with symptomatic recurrent vari...
...patients with symptomatic recurren...
...atients with symptomatic recurrent varicositi...
...ents with symptomatic recurrent var...
...patients with residual or recurrent vari...
...lation of Incompetent Perforati...
...mendations...
...1.For patients with varicose veins (CEAP class C...
....For patients with varicose veins (CEAP class...
...ensus Statement...
...s with incompetent pathologic perforators associa...
...nt of Ablation-related Thrombus Extension (A...
...Post-procedure DUS...
...ommendation...
....In an average-risk patient who is asymptom...
...onsensus State...
...2.In an average-risk patient who is asymptomatic f...
...n a high-risk patient who is asymptomati...
...ommendatio...
...tients who are symptomatic followi...
...2. Pharmacological thromboproph...
...commendation...
...igh-risk patients undergoing endov...
Consensus Statemen...
...patients undergoing endovenous ablatio...
....3. Treatment of varicose vein procedure rela...
...ommendationsb...
...3.1.For patients with acute isolated dista...
11.3.2.For patients with isolated dista...
...1.3.3.For patients with acute proximal DVT after...
...tients with symptomatic ARTE after endovenous...
...We endorsed the recommendations of S...
...ensus Statements
....For patients with asymptomatic AR...
...2.For patients who receive anticoagulatio...
...ement of Superficial Vein Thrombosis (SVT)...
...2 addresses the management of SVT in...
...ommendatio...
...atients with SVT of the main saphenous tru...
...sensus Statement...
12.1.2For patients with SVT of the main saphenous...
...mendations
...atients with SVT of the main saphenous trunks...
...ected patients with isolated thrombosi...
...nsensus State...
...patients with saphenous thrombophlebitis,...
...agement of Bleeding Varicose Vei...
...sus Statements...
...atients presenting with acute bleeding...
...ents with bleeding due to varicose veins,...
...atients who presented with bleeding f...
...4.Patients with varicose veins or venous...
...of Superficial Vein Aneurysms...
...nsensus Statem...
...ients with superficial truncal vein...
...r patients with an asymptomatic super...
...ts with symptomatic, thrombosed or...
...VCSSHaving trouble viewing table? Exp...
Table 2. Veno-active Drugs for CVDaHaving trouble...
...natomy of GSV and Its Tributariesa., artery; n.,...
...Anatomy of SSV and Its Tributariesn.,...
...orating Veins of the LegPTV, posterior tibial...