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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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Chronic Venous Insufficiency and Management.

Robert R Attaran¹, Golsa Babapour¹, Carlos Mena-Hurtado¹

¹Section of Cardiovascular Medicine, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06519, USA.

Interventional Cardiology Clinics

|March 6, 2025

Summary

Chronic venous insufficiency, a common condition causing leg discomfort and ulcers, can be managed through compression, medication, and minimally invasive procedures to improve vein function and quality of life.

Keywords:

Chronic venous disease Chronic venous insufficiency May-thurner syndrome Postthrombotic syndrome Saphenous vein ablation Varicose veins

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Published on: May 15, 2020

Area of Science:

Vascular Medicine
Phlebology

Background:

Chronic venous insufficiency (CVI) is a prevalent condition characterized by leg discomfort, heaviness, edema, and skin changes, potentially leading to ulceration.
It stems from venous obstruction, reflux, or both, significantly impacting patients' quality of life.
Varicose veins are a common manifestation of CVI, particularly in Western populations.

Purpose of the Study:

To summarize the current understanding of chronic venous insufficiency, its risk factors, and treatment modalities.
To highlight the association between chronic venous disease and leg ulcers.
To review promising therapeutic approaches for managing CVI.

Main Methods:

Review of existing literature on chronic venous insufficiency.
Identification of common risk factors including age, gender, obesity, and history of deep vein thrombosis.
Summary of therapeutic interventions such as compression therapy, pharmacologic treatments, and catheter-based techniques.

Main Results:

CVI is a leading cause of leg ulcers, significantly diminishing quality of life.
Risk factors for CVI include age, female gender, family history, pregnancy, obesity, prolonged standing, and DVT history.
Compression, pharmacologic therapy, and catheter-based methods show potential for treating CVI complications.

Conclusions:

Effective management strategies exist for chronic venous insufficiency and its complications.
Interventions aim to improve venous obstruction, close incompetent veins, and eliminate varicose veins.
Further research and application of these treatments can enhance patient outcomes and quality of life.