Venous Insufficiency: Wound Management

• Published in: Current cardiology reports 2024-12, Vol.26 (12), p.1453-1460
• Main Authors: Iceton, Jordan Blake, Haro, Alex, Lau, Judy, Fukaya, Eri
• Format: Article
• Language: English
• Subjects: Cardiology; Chronic Disease; Humans; Medicine; Medicine & Public Health; Patient Education as Topic; Peripheral Vascular Disease (S Kinlay; Quality of Life; Section Editor; Topical Collection on Peripheral Vascular Disease; Varicose Ulcer - physiopathology; Varicose Ulcer - therapy; Venous Insufficiency - complications; Venous Insufficiency - physiopathology; Venous Insufficiency - therapy; Wound Healing
• ISSN: 1523-3782; 1534-3170; 1534-3170
• DOI: 10.1007/s11886-024-02140-4

Purpose of Review Venous leg ulcers (VLUs) are one of the most common forms of chronic wounds and with nearly half the people having recurrent episodes, this significantly impacts a patient’s quality of life. As such, VLU is a chronic disease that requires lifelong maintenance and awareness. A correct diagnosis of VLU is essential for management. Recent Findings VLUs can be of mixed etiology and treatment should be aimed at optimizing the underlying venous hypertension based on its cause. If there is an anatomical venous reflux contributing to the non-healing of the VLU, early treatment of incompetent veins can improve healing rates. Summary All aspects contributing to the patient’s ongoing venous hypertension should be addressed to provide appropriate treatment. This can include venous interventions but also through conservative measures. Patient education and their engagement in their own care is essential for good outcomes.