Guideline Video

Guideline Resources

  • Title: Management of Chronic Venous Disease
  • Society:  Society for Cardiovascular Angiography and Interventions (SCAI)
  • Publish Date: June 30, 2025
  • Guideline Summary
  • Full-text

Video Transcription

Just published June 30th, 2025 - The Society for Cardiovascular Angiography and Interventions’ newest guideline for the Management of Chronic Venous Disease (CVD).

The objective of this guideline is to support patients, clinicians, and other stakeholders in their treatment decisions about management of CVD. Key recommendations address patient selection for compression therapy, ablation of saphenous and perforator veins, sclerotherapy, phlebectomy, and deep vein revascularization.

There are 8 recommendations, so let’s get started:

For patients with symptomatic varicose veins and/or chronic venous insufficiency, the guideline suggests compression therapy rather than no compression therapy

For patients with venous ulcers, the guideline recommends compression therapy rather than no compression therapy

For patients with symptomatic great saphenous vein (GSV) with or without small saphenous vein (SSV) reflux, the guideline suggests ablation therapy plus conservative management rather than conservative management alone 

For patients with symptomatic accessory GSV reflux, the guideline suggests ablation therapy plus conservative management rather than conservative management alone

For patients with symptomatic varicose veins without truncal vein reflux, the guideline suggests foam sclerotherapy plus conservative management rather than conservative management alone 

For patients with venous ulcers without truncal vein reflux, the guideline suggests foam sclerotherapy plus conservative management rather than conservative management alone 

For patients with symptomatic varicose veins without truncal vein reflux, the guideline suggests phlebectomy plus conservative management rather than conservative management alone 

The guideline makes no recommendation regarding phlebectomy plus conservative management compared with conservative management alone in patients with venous ulcers 

For patients with ulcer-associated perforator vein reflux, the guideline suggests ablation therapy plus conservative management rather than conservative management alone 

The guideline makes no recommendation regarding patients with symptomatic perforator reflux without associated ulcer(s) 

For patients with symptomatic chronic deep vein obstruction/stenosis, the guideline suggests venoplasty or stenting of iliocaval veins plus conservative management rather than conservative management alone 

The guideline makes no recommendation regarding venoplasty with or without stenting plus conservative management compared with conservative management alone in patients with postthrombotic chronic isolated femoral vein disease 

The guideline makes no recommendation regarding venoplasty with or without stenting plus conservative management compared with conservative management alone in patients with postthrombotic chronic isolated common femoral vein disease 
Make sure to check out the full guideline from The Society for Cardiovascular Angiography and Interventions and other related clinical decision support tools at guidelinecentral.com.

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