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Related Concept Videos

Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

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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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Venous Thrombosis III: Interprofessional Care01:29

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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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Varicose Veins I: Introduction01:26

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Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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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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Peripheral Artery Disease III: Interprofessional Care01:27

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Related Experiment Video

Updated: Mar 21, 2026

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Interventions for Varicose Veins: Beyond Ablation.

Raghu Kolluri1

  • 1System Medical Director - Vascular Medicine, OhioHealth Heart and Vascular/ Riverside Methodist Hospital, 3705 Olentangy River Road, Columbus, OH, 43017, USA. raghu.kolluri@ohiohealth.com.

Current Treatment Options in Cardiovascular Medicine
|May 17, 2016
PubMed
Summary

New non-thermal treatments for chronic venous insufficiency (CVI) offer similar outcomes to traditional thermal methods with less discomfort. Patient and physician preference, alongside cost and reimbursement, guide the choice of minimally invasive CVI management techniques.

Keywords:
Endothermal treatmentsMinimally invasive endothermal treatmentsTumescent anesthesiaVascular disease

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Area of Science:

  • Vascular Surgery
  • Minimally Invasive Procedures

Background:

  • Minimally invasive endothermal treatments are the standard of care for chronic venous insufficiency (CVI).
  • Newer techniques aim to reduce procedural discomfort associated with endothermal treatments.

Purpose of the Study:

  • To evaluate newer non-thermal, tumescentless techniques for CVI management.
  • To compare the outcomes of non-thermal techniques with traditional thermal ablations.

Main Methods:

  • Review of emerging non-thermal, tumescentless techniques for CVI.
  • Comparison of outcomes between thermal and non-thermal endovenous ablation methods.

Main Results:

  • Non-thermal, tumescentless techniques are well-tolerated and achieve outcomes equivalent to thermal ablations.
  • No single thermal or non-thermal therapy demonstrates clear superiority.

Conclusions:

  • Selection of CVI treatment depends on patient/physician preference, learning curve, costs, and reimbursement.
  • Non-thermal techniques may become the standard of care for CVI once reimbursement and durability are established.