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Related Concept Videos

Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Acute iliofemoral deep venous thrombosis in adolescents and young adults is associated with hypercoagulable states and a significant incidence of post-thrombotic syndrome.

Journal of vascular surgery. Venous and lymphatic disorders·2025
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Current outcomes following upper and lower extremity arterial trauma from the National Trauma Data Bank.

Journal of vascular surgery·2024
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Society of Interventional Radiology Position Statement on the Management of Chronic Iliofemoral Venous Obstruction with Endovascular Placement of Metallic Stents.

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The position of the American Venous Forum.

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Society of Interventional Radiology Position Statement on the Endovascular Management of Acute Iliofemoral Deep Vein Thrombosis.

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Midterm and Long-Term Outcomes following Dedicated Endovenous Nitinol Stent Placement for Symptomatic Iliofemoral Venous Obstruction: Three- to 5-Year Results of the VIRTUS Study.

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A Murine Model of Hemodialysis Access-Related Hand Dysfunction
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Mixed arterial and venous ulcers.

William Marston1

  • 1The University of North Carolina at Chapel Hill School of Medicine;

Wounds : a Compendium of Clinical Research and Practice
|April 17, 2015
PubMed
Summary

Chronic lower extremity wounds often stem from venous insufficiency, diabetic neuropathy, and arterial insufficiency. Managing these complex, often coexisting, factors is key to promoting wound healing.

Area of Science:

  • Vascular Surgery
  • Diabetology
  • Wound Care

Background:

  • Chronic lower extremity wounds frequently result from chronic venous insufficiency (CVI), diabetic neuropathy, and arterial insufficiency (AI).
  • These factors are present in over 90% of chronic lower extremity ulcers, necessitating tailored treatment protocols.
  • The increasing prevalence of neuroischemic diabetic foot ulcers highlights the complex interplay between diabetes, arterial disease, and impaired wound healing.

Purpose of the Study:

  • To discuss the management of leg ulcers in patients with coexisting arterial and venous insufficiency.
  • To outline identification methods, diagnostic approaches, and treatment strategies for these complex wounds.
  • To maximize the healing potential of chronic lower extremity ulcers influenced by multiple etiologic factors.

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Main Methods:

  • Review of current literature on the etiologies and management of chronic lower extremity wounds.
  • Discussion of diagnostic tools for identifying CVI, diabetic neuropathy, and AI.
  • Outline of evidence-based treatment protocols for combined arterial and venous insufficiency in wound care.

Main Results:

  • Chronic venous insufficiency, diabetic neuropathy, and arterial insufficiency are the primary drivers of delayed healing in lower extremity wounds.
  • Coexistence of multiple etiologic factors complicates wound management and impedes healing.
  • Neuroischemic diabetic foot ulcers are becoming more prevalent due to the impact of poorly controlled diabetes on arterial health.

Conclusions:

  • Effective management of chronic lower extremity ulcers requires addressing all contributing factors, including CVI, diabetic neuropathy, and AI.
  • Integrated diagnostic and treatment strategies are crucial for optimizing healing outcomes in patients with complex wounds.
  • Understanding the interplay of these conditions is vital for advancing wound care and improving patient prognosis.