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...
...ssification and grading of clinical sev...
...actice Statements...
...1.1.We recommend the use of the 2020...
...mmend the use of the revised Venous...
...Doppler ultrasound scanning (...
...ecommendat...
...ts with chronic venous disease of the...
Implementation...
...s defined as a minimum value >500 ms of...
...reflux of the GSV is defined as uninterr...
...3.A definition of “pathologic” perforat...
...ood Practice Sta...
...commend that evaluation of reflux with...
...nd that for evaluation of reflux with D...
....We recommend that a complete DUS examin...
...4.We recommend that a complete DUS examination f...
....4.5.We recommend that a complete DUS examinati...
...ensus Statements
...asymptomatic patients with telangiectasia...
...2.In symptomatic CEAP Class C1 patients with blee...
...mptomatic patients with varicose vei...
1.5.4.In symptomatic patients with var...
...patients with medial thigh or vulvar varicosi...
Treatment
...atment...
2. Compression Therap...
...sion therapy vs. intervention...
...mmendations...
...ents with symptomatic varicose vei...
....2.For patients with symptomatic varicos...
...patients with symptomatic varicose veins and axial...
...n patients with symptomatic varicose veins...
.... Compression therapy after intervention...
...ients undergoing thermal ablation...
...acological Treatmen...
...commendations
...atic patients with varicose veins who are not...
....In symptomatic patients with varicose veins...
...ions for Superficial Truncal Reflux...
...enous ablation vs. high ligation and stri...
...ommendatio...
....1.1.For patients with symptomatic va...
...patients with symptomatic varicos...
...ients with symptomatic varicose veins and...
...ts with symptomatic varicose veins and...
....5.For patients with symptomatic va...
...nts with symptomatic varicose veins and axi...
4.1.7.For patients with symptomatic varico...
...ients with symptomatic varicose vein...
...vs. non-thermal ablation of superfi...
Recommenda...
...atients with symptomatic axial reflux of the GSV,...
4.2.2.For patients with symptomatic axi...
....3.For patients with symptomatic axial...
...ting Choice of Superficial Truncal...
...mmendation
...omatic patients with C2 disease we sugge...
Consensus Stateme...
...n asymptomatic patients with C2 disease, pr...
...ntions to treat varicose veins can be...
...ents with symptomatic C2 disease, is...
...n patients with symptomatic C2 disease, ablation...
...ients with reflux in the below-knee GSV, ablation...
....6.In patients with an epifascial or superficia...
...2.7.For patients with large (>10 mm), non-a...
....8.The incidence of superficial thrombophlebitis h...
...atients with uncomplicated C2 disease (no...
...entions to Preserve the...
...commendations...
...patients with the early stages of sympt...
...2.For patients with symptomatic varico...
...ment of Venous Tributaries...
...ectasias and reticular veins...
...commendation...
...tients with symptomatic telangiectasia...
....1.2.For patients with symptomatic telangiec...
....2. Varicose tribut...
...ecommendations
...2.1.For treatment of symptomatic varicose tribu...
...atment of symptomatic varicose tributaries, we sug...
...ensus Statements
...2.3.For patients with symptomatic var...
...is no clinical evidence that foam scleroth...
...s currently no clinical study of sclerothe...
...nt of Varicose Tributaries Concomit...
...mendations...
...1.For patients with symptomatic re...
8.1.2.For patients with symptomatic reflux in the...
8.1.3.For patients with symptomatic r...
...patients with symptomatic reflux in the AAGSV...
...ood Clinical Practice Statement...
...r patients with symptomatic reflux i...
...anagement of Recurrent Varico...
...ensus Statements...
...ts with symptomatic recurrent varicosities,...
...patients with symptomatic recurrent varicosities...
....1.3.For patients with symptomatic recurrent var...
...ients with symptomatic recurrent vari...
...or patients with residual or recurrent varicos...
...ion of Incompetent Perforating Veins...
...ommendation...
...nts with varicose veins (CEAP clas...
...r patients with varicose veins (CEAP class C2...
...onsensus Statement
...patients with incompetent pathologic...
...nt of Ablation-related Thrombus Extension (ARTE) A...
...ost-procedure DUS...
Recommendat...
...average-risk patient who is asymptomatic follo...
Consensus Statemen...
...2.In an average-risk patient who is asy...
...high-risk patient who is asymptomatic followi...
...mmendation...
11.1.4.In patients who are symptomat...
...harmacological thromboprophylaxi...
Recommendatio...
...1.2.1.For high-risk patients underg...
...nsensus Stateme...
...For patients undergoing endovenous ablation routi...
...ment of varicose vein procedure related DVT...
...mmendationsb...
...nts with acute isolated distal DVT after...
...2.For patients with isolated distal DVT after v...
...atients with acute proximal DVT after varicose...
...atients with symptomatic ARTE after end...
...the recommendations of Stevens SM, Woller SC...
...nsus Statements
...4.1.For patients with asymptomatic ARTE III and IV...
...2.For patients who receive anticoagulation for...
...ent of Superficial Vein Thrombosis (SVT)...
...ecommendation 12 addresses the managemen...
...commendatio...
...For patients with SVT of the main sap...
...nsus Statement...
...2For patients with SVT of the main saphenous trun...
Recommendatio...
...nts with SVT of the main saphenous trunks we recom...
...ected patients with isolated thrombosis of...
...ensus Statement...
12.1.5.In patients with saphenous throm...
...gement of Bleeding Varicose...
...onsensus Stateme...
...patients presenting with acute bleeding fr...
...r patients with bleeding due to varicose...
...ients who presented with bleeding from vari...
13.4.Patients with varicose veins or ven...
...ent of Superficial Vein Aneurysms...
...onsensus State...
....For patients with superficial truncal...
...r patients with an asymptomatic superficial...
...ith symptomatic, thrombosed or large (>3 cm) a...
...ised VCSSHaving trouble viewing table?...
...active Drugs for CVDaHaving trouble viewing...
...1. Anatomy of GSV and Its Tributariesa...
...Anatomy of SSV and Its Tributariesn., nerv...
...3. Perforating Veins of the LegPTV, posterio...