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Semin intervent Radiol 2001; 18(2): 155-170
DOI: 10.1055/s-2001-15177
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Pathophysiology of Chronic Venous Insufficiency and New Horizons in Surgical Management

Amardip S. Bhuller, Ryan D. Nachreiner, Michael C. Dalsing
  • Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

The sequelae of chronic venous disease have plagued mankind since the earliest known medical records. Recently, through the endeavors of numerous pioneer clinicians, our understanding of this complex disease has blossomed. This has been achieved by recognizing the spectrum of disorders encompassed by the umbrella term ``chronic venous insufficiency'' and by the ability to classify each through an understanding of its basic pathophysiology and clinical presentation. Appropriate diagnostic studies allow careful patient selection to optimize the benefit of conservative medical therapy while clarifying the appropriate timing for interventional therapies. Interventional therapy may include sclerotherapy, vein stripping, perforator ablation, primary valvuloplasty, vein transposition, and venous valve transplantation. We review the current approach to the classification, diagnosis, and treatment of chronic venous insufficiency.

KEYWORD

Venous disease - chronic venous insufficiency - pathophysiology - diagnosis - treatment - surgery

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