Investigation of venous ulcers
Abstract The evaluation of patients with venous ulceration primarily includes noninvasive methods to elucidate the distribution and extent of pathology. Duplex ultrasound is the first line of investigation, as it provides assessment of both reflux and obstruction conditions. In patients with iliofem...
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| Veröffentlicht in: | Seminars in vascular surgery 2015-03, Vol.28 (1), p.15-20 |
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| creator | Kokkosis, Angela A Labropoulos, Nicos Gasparis, Antonios P |
| description | Abstract The evaluation of patients with venous ulceration primarily includes noninvasive methods to elucidate the distribution and extent of pathology. Duplex ultrasound is the first line of investigation, as it provides assessment of both reflux and obstruction conditions. In patients with iliofemoral pathology, axial imaging with computed tomography scan or magnetic resonance imaging should be performed. If the treatment of iliofemoral vein obstruction is warranted, then invasive assessment using venography and/or intravascular ultrasound should be used to guide the interventional procedure. Venous valve reflux can be identified and accurately characterized by duplex ultrasound, whereas the ultrasound assessment of functional abnormality associated with obstruction is less reliable. In patients with ulceration, the evaluation for and treatment of proximal venous obstruction has resulted in improved ulcer healing. |
| doi_str_mv | 10.1053/j.semvascsurg.2015.06.002 |
| format | Article |
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Duplex ultrasound is the first line of investigation, as it provides assessment of both reflux and obstruction conditions. In patients with iliofemoral pathology, axial imaging with computed tomography scan or magnetic resonance imaging should be performed. If the treatment of iliofemoral vein obstruction is warranted, then invasive assessment using venography and/or intravascular ultrasound should be used to guide the interventional procedure. Venous valve reflux can be identified and accurately characterized by duplex ultrasound, whereas the ultrasound assessment of functional abnormality associated with obstruction is less reliable. In patients with ulceration, the evaluation for and treatment of proximal venous obstruction has resulted in improved ulcer healing.</description><identifier>ISSN: 0895-7967</identifier><identifier>EISSN: 1558-4518</identifier><identifier>DOI: 10.1053/j.semvascsurg.2015.06.002</identifier><identifier>PMID: 26358305</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Angioplasty - methods ; Female ; Humans ; Lower Extremity ; Magnetic Resonance Angiography - methods ; Male ; Multimodal Imaging - methods ; Phlebography - methods ; Plethysmography - methods ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - pathology ; Sensitivity and Specificity ; Surgery ; Tomography, X-Ray Computed - methods ; Ultrasonography, Doppler, Duplex - methods ; Ultrasonography, Interventional - methods ; Varicose Ulcer - diagnosis ; Varicose Ulcer - therapy ; Venous Insufficiency - diagnosis ; Venous Insufficiency - therapy</subject><ispartof>Seminars in vascular surgery, 2015-03, Vol.28 (1), p.15-20</ispartof><rights>2015</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-1c942bcf951dffa69dfe6b6f128afe8cf9802e338592c47a96f5a5c1f96a6d8a3</citedby><cites>FETCH-LOGICAL-c432t-1c942bcf951dffa69dfe6b6f128afe8cf9802e338592c47a96f5a5c1f96a6d8a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.semvascsurg.2015.06.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26358305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kokkosis, Angela A</creatorcontrib><creatorcontrib>Labropoulos, Nicos</creatorcontrib><creatorcontrib>Gasparis, Antonios P</creatorcontrib><title>Investigation of venous ulcers</title><title>Seminars in vascular surgery</title><addtitle>Semin Vasc Surg</addtitle><description>Abstract The evaluation of patients with venous ulceration primarily includes noninvasive methods to elucidate the distribution and extent of pathology. Duplex ultrasound is the first line of investigation, as it provides assessment of both reflux and obstruction conditions. In patients with iliofemoral pathology, axial imaging with computed tomography scan or magnetic resonance imaging should be performed. If the treatment of iliofemoral vein obstruction is warranted, then invasive assessment using venography and/or intravascular ultrasound should be used to guide the interventional procedure. Venous valve reflux can be identified and accurately characterized by duplex ultrasound, whereas the ultrasound assessment of functional abnormality associated with obstruction is less reliable. In patients with ulceration, the evaluation for and treatment of proximal venous obstruction has resulted in improved ulcer healing.</description><subject>Angioplasty - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Lower Extremity</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Male</subject><subject>Multimodal Imaging - methods</subject><subject>Phlebography - methods</subject><subject>Plethysmography - methods</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - pathology</subject><subject>Sensitivity and Specificity</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Ultrasonography, Doppler, Duplex - methods</subject><subject>Ultrasonography, Interventional - methods</subject><subject>Varicose Ulcer - diagnosis</subject><subject>Varicose Ulcer - therapy</subject><subject>Venous Insufficiency - diagnosis</subject><subject>Venous Insufficiency - therapy</subject><issn>0895-7967</issn><issn>1558-4518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtLAzEQgIMoWh9_odSbl10zySabXAQpvkDwoJ5Dmp2U1O2uJt1C_70pVRFPnuYw37y-IeQcaAlU8MtFmXC5tsmlIc5LRkGUVJaUsj0yAiFUUQlQ-2RElRZFrWV9RI5TWmRASlYfkiMmuVCcihEZP3RrTKswt6vQd5PeT9bY9UOaDK3DmE7JgbdtwrOveEJeb29epvfF49Pdw_T6sXAVZ6sCnK7YzHktoPHeSt14lDPpgSnrUeWEogw5V0IzV9VWSy-scOC1tLJRlp-Qi13f99h_DHkhswzJYdvaDvM2BmoAwWvgIqN6h7rYpxTRm_cYljZuDFCz1WMW5pces9VjqDT5-lw7_hozzJbY_FR--8jAdAdgPnYdMJrkAnYOmxDRrUzTh3-NufrTxbWhC862b7jBtOiH2GWbBkxihprn7Z-2bwJBKRVQ8U-fFZEb</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Kokkosis, Angela A</creator><creator>Labropoulos, Nicos</creator><creator>Gasparis, Antonios P</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Investigation of venous ulcers</title><author>Kokkosis, Angela A ; Labropoulos, Nicos ; Gasparis, Antonios P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-1c942bcf951dffa69dfe6b6f128afe8cf9802e338592c47a96f5a5c1f96a6d8a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Angioplasty - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Lower Extremity</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Male</topic><topic>Multimodal Imaging - methods</topic><topic>Phlebography - methods</topic><topic>Plethysmography - methods</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - pathology</topic><topic>Sensitivity and Specificity</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Ultrasonography, Doppler, Duplex - methods</topic><topic>Ultrasonography, Interventional - methods</topic><topic>Varicose Ulcer - diagnosis</topic><topic>Varicose Ulcer - therapy</topic><topic>Venous Insufficiency - diagnosis</topic><topic>Venous Insufficiency - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kokkosis, Angela A</creatorcontrib><creatorcontrib>Labropoulos, Nicos</creatorcontrib><creatorcontrib>Gasparis, Antonios P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kokkosis, Angela A</au><au>Labropoulos, Nicos</au><au>Gasparis, Antonios P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigation of venous ulcers</atitle><jtitle>Seminars in vascular surgery</jtitle><addtitle>Semin Vasc Surg</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>28</volume><issue>1</issue><spage>15</spage><epage>20</epage><pages>15-20</pages><issn>0895-7967</issn><eissn>1558-4518</eissn><abstract>Abstract The evaluation of patients with venous ulceration primarily includes noninvasive methods to elucidate the distribution and extent of pathology. Duplex ultrasound is the first line of investigation, as it provides assessment of both reflux and obstruction conditions. In patients with iliofemoral pathology, axial imaging with computed tomography scan or magnetic resonance imaging should be performed. If the treatment of iliofemoral vein obstruction is warranted, then invasive assessment using venography and/or intravascular ultrasound should be used to guide the interventional procedure. Venous valve reflux can be identified and accurately characterized by duplex ultrasound, whereas the ultrasound assessment of functional abnormality associated with obstruction is less reliable. In patients with ulceration, the evaluation for and treatment of proximal venous obstruction has resulted in improved ulcer healing.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26358305</pmid><doi>10.1053/j.semvascsurg.2015.06.002</doi><tpages>6</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Angioplasty - methods Female Humans Lower Extremity Magnetic Resonance Angiography - methods Male Multimodal Imaging - methods Phlebography - methods Plethysmography - methods Saphenous Vein - diagnostic imaging Saphenous Vein - pathology Sensitivity and Specificity Surgery Tomography, X-Ray Computed - methods Ultrasonography, Doppler, Duplex - methods Ultrasonography, Interventional - methods Varicose Ulcer - diagnosis Varicose Ulcer - therapy Venous Insufficiency - diagnosis Venous Insufficiency - therapy |
| title | Investigation of venous ulcers |
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