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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Published on: December 9, 2022

Chronic venous disease in the male. An epidemiological survey

J P Benigni1, M Cazaubon, F Kasiborski

  • 1Unit of Cardio-Vascular Pathology, Bégin Hospital, St. Mandé, Paris, France. Snipe@easynet.fr

International Angiology : a Journal of the International Union of Angiology
|October 28, 2004
PubMed

Insights

Men with chronic venous disease often wait years before seeing a specialist, leading to more advanced conditions. Early consultation is key for managing venous disorders and preventing complications like trophic disorders.

Area of Science:

  • Vascular Medicine
  • Dermatology
  • Epidemiology

Background:

  • Chronic venous disease (CVD) is prevalent in men, yet underrepresented in medical literature.
  • A significant delay often exists between symptom onset and specialist consultation for male patients with CVD.

Purpose of the Study:

  • To determine the time lag between the initial symptoms/signs of CVD and the first angiologist consultation in men.
  • To explore correlations between CVD characteristics and patient/disease factors using the CEAP classification.

Main Methods:

  • A cross-sectional descriptive survey involving 192 physicians.
  • Inclusion of 561 male patients presenting with at least one sign and symptom of CVD.
  • Analysis of 494 patients to assess disease progression and associated factors.

Main Results:

  • The mean delay to consultation was 76.8 months, increasing with patient age.
  • Advanced disease and trophic disorders were linked to older age, obesity (OR 3.5), and specific occupations (shop workers, craftsmen, OR 3.7).
  • Popliteal reflux (OR 3.2) and certain venous trunk involvement were associated with higher risks.

Conclusions:

  • Delayed specialist consultation in men with CVD correlates with disease severity and trophic complications.
  • Occupational factors, obesity, and specific venous reflux patterns significantly increase the risk of advanced CVD and trophic disorders.
  • Elastic compression use increased from 32% pre-consultation to 87% post-consultation, highlighting improved management.
Abstract

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