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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
Venous ulceration: active approaches to treatment
1Department of Veterans Affairs Medical Center, Reno, NV 89520, USA.
Summary
Surgical intervention offers good long-term results for severe chronic venous insufficiency (CVI) when the deep venous system is normal. This approach provides an alternative to conservative treatments with high recurrence rates for venous ulceration.
Area of Science:
- Vascular Surgery
- Phlebology
- Wound Healing
Background:
- Venous ulceration recurrence rates range from 29% to 59% despite optimal conservative care.
- Severe chronic venous insufficiency (CVI) can present with a normal deep venous system.
- Recurrent ulceration leads to substantial costs and patient disability.
Purpose of the Study:
- To review the underlying causes and diagnostic methods for CVI.
- To discuss the CEAP classification system for assessing CVI.
- To explore surgical interventions for CVI in select patients.
Main Methods:
- Review of underlying pathophysiology of CVI.
- Discussion of diagnostic tests for CVI assessment.
- Overview of common surgical techniques and nursing care.
Main Results:
- Surgical treatment can yield good long-term outcomes for CVI patients with a normal deep venous system.
- The CEAP classification system provides a framework for systematic CVI assessment.
- Understanding the cause of CVI is crucial for selecting appropriate treatment.
Conclusions:
- Surgical intervention should be considered for symptomatic CVI patients with a normal deep venous system.
- Investigating the specific cause of CVI is essential for effective management.
- Surgical options offer an alternative to conservative management with high recurrence rates for venous ulceration.
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