Protocolo diagnóstico y terapéutico de la insuficiencia venosa crónica de las extremidades inferiores

  1. Brizuela, J. A.
  2. San Norberto García, Enrique
  3. Merino Díaz, Borja
  4. Vaquero Puerta, Carlos
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2013

Issue Title: Enfermedades cardiovasculares (XI): enfermedades vasculares

Series: 11

Issue: 45

Pages: 2717-2720

Type: Article

DOI: 10.1016/S0304-5412(13)70688-7 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

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Abstract

The prevalence of chronic venous insufficiency (CVI) is very high. Etiologically CVI may be primary (varicose veins), or secondary (post-trombotic syndrome). The major clinical features of CVI are dilated veins, edema, cutaneous trophic lesions and venous leg ulcers. The fundamental diagnostic test of CVI is doppler ultrasound scan in deep and superficial venous system of the lower limbs. Phlebography has poor diagnostic use and is done only in complex clinical contexts. Conservative treatment involves lifestyle changes for the patient and compression stockings. Venotonic drugs have limited role to play in the symptomatic therapy. Treatment of choice for varicose veins is the venous ablative surgery either by traditional surgery (stripping of saphenous and/or phlebectomy) or radiofrequency ablation, laser or foam sclerotherapy.

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Data source: Dialnet