Chronic Venous Insufficiency

Karthik Gujja; Jose Wiley; Prakash Krishnan

doi:10.1016/j.iccl.2014.07.001

Chronic Venous Insufficiency

Interv Cardiol Clin. 2014 Oct;3(4):593-605. doi: 10.1016/j.iccl.2014.07.001. Epub 2014 Oct 2.

Authors

Karthik Gujja¹, Jose Wiley², Prakash Krishnan¹

Affiliations

¹ The Zena and Michael A. Weiner Cardiovascular Institute, The Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1030, New York, NY 10029, USA.
² The Zena and Michael A. Weiner Cardiovascular Institute, The Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1030, New York, NY 10029, USA. Electronic address: jose.wiley@mssm.edu.

PMID: 28582082
DOI: 10.1016/j.iccl.2014.07.001

Abstract

Varicose veins are a common manifestation of chronic venous disease and affect approximately 25% of adults in the western hemisphere. The historical standard treatment has been surgery, with high ligation and stripping, combined with phlebectomies. In the past decade, alternative treatments such as endovenous ablation of the great saphenous vein (GSV) with laser, radiofrequency ablation, and ultrasonography-guided foam sclerotherapy have gained popularity. Performed as office-based procedures using tumescent local anesthesia, the new minimally invasive techniques have been shown in numerous studies to obliterate the GSV, eliminate reflux, and improve symptoms safely and effectively.

Keywords: Chronic venous insufficiency (CVI); Deep vein reflux; Phlebectomy; Plethysmography; Radiofrequency ablation; Sclerotherapy; Superficial venous reflux; Valvular incompetence.

Publication types

Review