Chronic venous disease progression and modification of predisposing factors

Kostas TI, Ioannou CV, Drygiannakis I, Georgakarakos E, Kounos C, Tsetis D, Katsamouris AN. J Vasc Surg. 2010;51:900-907. Aim: The aim of this study was to evaluate long-term characteristics of chronic venous disease (CVD) progression and its correlation with the modification of specific risk factors. Methods: In this prospective, follow-up study, the contralateral limb of 73 patients (95% women; mean age, 48±12 years) undergoing varicose vein surgery were prospectively evaluated using physical and color duplex examination and were classified using the Clinical, Etiological, Anatomical, and Pathological (CEAP) classification. After 5 years of follow-up, the development of new sites of reflux…

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Thrombosis and pulmonary embolism risk in patients undergoing varicose vein surgery

Andreas Oesch Chirurgie FMH, Kramgasse 16, CH 3011, Bern, Switzerland ABSTRACT Varicose veins are not by themselves dangerous. Nevertheless, when treating them, it is important to prevent the occurrence of complications with potentially serious consequences such as deep vein thrombosis or pulmonary embolism. Vein operations are among the procedures carrying the lowest risk of all surgical interventions. Publications on thromboembolism after vein surgery show a striking discrepancy in the number of reported cases of thromboembolism, which is partially due to the different methods used to record them. Most thromboses are localized in the calf and their damage potential is limited,…

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The natural progression of chronic venous disorders: An overview of available information from longitudinal studies

Amanda C. SHEPHERD, Tristan R. LANE, Alun H. DAVIES Academic Section of Vascular Surgery Imperial College School of Medicine Charing Cross Hospital, Fulham Palace Road, London, W6 8RF ABSTRACT Chronic venous disorders remain a common problem worldwide; however, despite increasing research into novel endovenous therapies for the treatment of superficial venous disease, the natural history of primary venous disorders remains poorly understood. The following article provides a review of the longitudinal studies evaluating the progression of chronic venous disorders in the published literature. This includes a summary of the rate of development of venous disease in asymptomatic limbs and the…

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