scholarly journals Chronic venous insufficiency: Clinical and duplex correlations. The Edinburgh Vein Study of venous disorders in the general population

2002 ◽  
Vol 36 (3) ◽  
pp. 520-525 ◽  
Author(s):  
C.Vaughan Ruckley ◽  
Christine J. Evans ◽  
Paul L. Allan ◽  
Amanda J. Lee ◽  
F.Gerald R. Fowkes
Keyword(s):  
General Population ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Venous Disorders

Epidemiology of Chronic Venous Insufficiency

1996 ◽  
Vol 11 (1) ◽  
pp. 2-5 ◽  
Author(s):  
F. G. R. Fowkes
Keyword(s):  
General Population ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Venous Disease ◽  
Skin Changes ◽  
Medline Search ◽  
Study Selection ◽  
Varicose Ulcer ◽  
Definition Of

Objective: To determine the prevalence of chronic venous insufficiency in the general population and its association with varicose veins. Data sources: MEDLINE search 1980–94 plus scanning of reference lists in articles obtained. Study selection: Studies on venous disease in subjects not attending health services. Data synthesis: A formal systematic review of metaanalysis was not carried out because of the heterogeneity of the few available studies. Skin changes were found to occur in over 3% of adults, more so in women than men. The prevalence was higher in subjects with varicose veins and depended on the definition of skin changes and the severity of varicose veins. Approximately 0.3% of adults had an open varicose ulcer, and around 1% had an open or healed ulcer. Prevalence was higher in women and increased with age. Conclusions: The prevalence of chronic venous insufficiency was found to be common in the general population, but more studies of distribution and aetiology are required.

Progression of varicose veins and chronic venous insufficiency in the general population in the Edinburgh Vein Study

2015 ◽  
Vol 3 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Amanda J. Lee ◽  
Lindsay A. Robertson ◽  
Sheila M. Boghossian ◽  
Paul L. Allan ◽  
C. Vaughan Ruckley ◽  
...  
Keyword(s):  
General Population ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins

Chronic venous insufficiency in the general population: clinical and duplex correlations

2001 ◽  
Vol 88 (4) ◽  
pp. 606-607
Author(s):  
C. V. Ruckley ◽  
C. J. Evans ◽  
P. L. Allan ◽  
A. J. Lee ◽  
F. G. R. Fowkes
Keyword(s):  
General Population ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency

Varicose veins and chronic venous insufficiency

VASA ◽  
2009 ◽  
Vol 38 (4) ◽  
pp. 293-301 ◽  
Author(s):  
Partsch
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Single Case ◽  
Clinical Stage ◽  
Clinical Signs ◽  
Venous System ◽  
High Recurrence Rate ◽  
Therapeutic Concepts ◽  
Venous Disorders

Varicose veins are a very frequent disorder with prevalence in our adult population between 14 % for large varices and 59 % for small teleangiectasias. Subjective symptoms may be very non-specific. The term “chronic venous insufficiency (CVI)” defines functional abnormalities of the venous system producing advanced symptoms like oedema, skin changes or leg ulcers. Both entities, varicose veins and CVI, may be summarized under the term “chronic venous disorders” which includes the full spectrum of morphological and functional abnormalities of the venous system. A classification system to describe chronic venous disorders regarding clinical appearance, etiology, anatomical distribution and pathophysiology has been proposed under the acronym of CEAP. The revised version of the CEAP classification contains also definitions of clinical signs and suggests three levels of apparative investigations adjusted to the clinical stage. Concerning the etiology of venous disorders controversial theories exist leading to different therapeutic concepts. As a matter of fact there is a vicious circle between structural changes in valves and venous wall and hemodynamic forces leading to reflux and venous hypertension. Different methods for treating varicose veins are available producing satisfactory early outcome in most cases, but followed by a high recurrence rate after years. Chronic venous insufficiency requires “chronic management”. Compression therapy by bandages for initial treatment of severe stages and maintenance therapy using medical compression stockings is essential. In addition correction of venous refluxes by surgery or endovenous procedures including echo-guided foam sclerotherapy should be considered in every single case.

Physical Therapy in Patients with Chronic Venous Insufficiency

Phlebologie ◽  
2000 ◽  
Vol 29 (02) ◽  
pp. 48-53 ◽  
Author(s):  
M. Jünger ◽  
Anke Steins
Keyword(s):  
Physical Therapy ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Ulcus Cruris ◽  
Chronisch Venöse Insuffizienz ◽  
Venöse Insuffizienz ◽  
Venöse Stauung ◽  
Venöse Drainage

ZusammenfassungWenn Maßnahmen der physikalischen Therapie wie rezeptpflichtige Kompressionsstrümpfe und ein angeleitetes ambulantes Gefäßtraining in einem frühen Stadium begonnen werden, können die Beschwerden des Patienten gelindert, die Gelenkbeweglichkeit und venöse Drainage verbessert und behindernde Stauungserkrankungen wie die Dermatolipofasziitis und das Ulcus cruris vermieden werden. Hat eine chronische venöse Stauung einmal zu einer Atrophie der Gelenkkapsel, Sprunggelenksversteifung und Muskelatrophie des Unterschenkels geführt, sind teure Therapiemaßnahmen einschließlich einer professionellen Krankengymnastik unumgänglich. Unseren eigenen Erfahrungen nach ist eine krankengymnastische Behandlung am wirksamsten, wenn sie in Kombination mit einer biomechanischen Stimulation erfolgt. Sobald der Steppergang des Patienten behoben wurde, können herkömmliche Gehübungen nach und nach das physiologische Gangbild wiederherstellen. Nach erfolgreicher Physiotherapie tragen ein ambulantes Gefäßtraining und eine optimierte Kompressionsbehandlung bei Patienten mit fortgeschrittener chronisch venöser Insuffizienz entscheidend zum langfristigen Therapieerfolg bei. Vergleichbar dem Koronarsport werden Gefäßtrainingsprogramme von den öffentlichen Kassen übernommen. Zusammen mit einer Kompressionsbehandlung stellen sie eine wirksame und kosteneffektive Basistherapie für die chronisch venöse Insuffizienz dar.

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