Management of Varicose Veins and Venous Insufficiency
Chronic venous disease, reviewed herein, is manifested by a spectrum of signs and symptoms, including cosmetic spider veins, asymptomatic varicosities, large painful varicose veins, edema, hyperpigmentation and lipodermatosclerosis of skin, and ulceration. However, there is no definitive stepwise pr...
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| Veröffentlicht in: | JAMA : the journal of the American Medical Association 2012-12, Vol.308 (24), p.2612-2621 |
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| creator | Hamdan, Allen |
| description | Chronic venous disease, reviewed herein, is manifested by a spectrum of signs and symptoms, including cosmetic spider veins, asymptomatic varicosities, large painful varicose veins, edema, hyperpigmentation and lipodermatosclerosis of skin, and ulceration. However, there is no definitive stepwise progression from spider veins to ulcers and, in fact, severe skin complications of varicose veins, even when extensive, are not guaranteed. Treatment options range from conservative (eg, medications, compression stockings, lifestyle changes) to minimally invasive (eg, sclerotherapy or endoluminal ablation), invasive (surgical techniques), and hybrid (combination of ≥1 therapies). Ms L, a 68-year-old woman with varicose veins, is presented. She has had vein problems over the course of her life. Her varicose veins recurred after initial treatment, and she is now seeking guidance regarding her current treatment options. |
| doi_str_mv | 10.1001/jama.2012.111352 |
| format | Article |
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However, there is no definitive stepwise progression from spider veins to ulcers and, in fact, severe skin complications of varicose veins, even when extensive, are not guaranteed. Treatment options range from conservative (eg, medications, compression stockings, lifestyle changes) to minimally invasive (eg, sclerotherapy or endoluminal ablation), invasive (surgical techniques), and hybrid (combination of ≥1 therapies). Ms L, a 68-year-old woman with varicose veins, is presented. She has had vein problems over the course of her life. 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| identifier | ISSN: 0098-7484 |
| ispartof | JAMA : the journal of the American Medical Association, 2012-12, Vol.308 (24), p.2612-2621 |
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| subjects | Aged Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Clinical outcomes Decision Making Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female General aspects Humans Medical sciences Medical treatment Recurrence Risk Factors Sclerotherapy Stockings, Compression Varicose veins Varicose Veins - epidemiology Varicose Veins - pathology Varicose Veins - therapy Vein & artery diseases Venous Insufficiency - epidemiology Venous Insufficiency - pathology Venous Insufficiency - therapy |
| title | Management of Varicose Veins and Venous Insufficiency |
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