Evaluation and Management of Chronic Venous Disease Using the Foundation of CEAP

• Published in: Current cardiology reports 2019-10, Vol.21 (10), p.114-114, Article 114
• Main Authors: Carman, Teresa L., Al-Omari, Ali
• Format: Article
• Language: English
• Subjects: Cardiology; Chronic Disease; Humans; Medicine; Medicine & Public Health; Peripheral Vascular Disease (CJ Cooper and R Gupta; Section Editors; Topical Collection on Peripheral Vascular Disease; Ultrasonography, Doppler, Duplex - methods; Varicose Veins - diagnostic imaging; Venous Insufficiency - diagnostic imaging; Venous Insufficiency - etiology; Venous Insufficiency - physiopathology; Venous Insufficiency - therapy
• ISSN: 1523-3782; 1534-3170
• DOI: 10.1007/s11886-019-1201-1

Purpose of the Review Venous disease is common. Depending on the population studied, the prevalence may be as high as 80%. Significant chronic venous disease with venous ulcers or trophic skin changes is reported to affect 1–10% of the population. A systematic assessment of the clinical findings associated with chronic venous disease will facilitate appropriate imaging. Based on imaging and assessment, patients with reflux or obstruction can be recommended proper medical and endovascular or surgical management. Recent Findings Many types of endovascular management are available to treat reflux and eliminate varicose veins and tributaries. More recently adopted non-thermal non-tumescent techniques have been shown to be comparable with more widely performed laser or radiofrequency ablation techniques. Summary A thorough clinical assessment, appropriate duplex ultrasound imaging, and use of advanced imaging when needed will allow clinicians to optimize therapy for patients with chronic venous disease based on the etiology, anatomy involved, and the pathophysiology.