Algorithm-based approach to management of venous leg ulceration
Abstract Management of venous ulceration has evolved tremendously during the last 2 decades. There has been considerable progress in our understanding of the pathophysiology, hemodynamics, venous imaging, and therapeutic options for venous ulcers, including endovenous ablation, iliac vein stenting,...
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| Veröffentlicht in: | Seminars in vascular surgery 2015-03, Vol.28 (1), p.54-60 |
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| creator | Verma, Himanshu Tripathi, Ramesh K |
| description | Abstract Management of venous ulceration has evolved tremendously during the last 2 decades. There has been considerable progress in our understanding of the pathophysiology, hemodynamics, venous imaging, and therapeutic options for venous ulcers, including endovenous ablation, iliac vein stenting, and vein-valve repair techniques. Details of these procedures are described in this issue of Seminars . With so many permutations and combinations of venous disease, including superficial and deep vein abnormalities, that produce venous ulceration, as well as a plethora of diagnostic and therapeutic tools at our disposal, it is important to have an algorithm for venous ulcer management. Also important is knowledge about risk factors that can influence poor outcomes, despite interventions for venous ulcers. In the end, authors also discuss the gray areas of venous ulcer management, which do not have common consensus and that treatment could be individualized based on patient needs. |
| doi_str_mv | 10.1053/j.semvascsurg.2015.07.002 |
| format | Article |
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There has been considerable progress in our understanding of the pathophysiology, hemodynamics, venous imaging, and therapeutic options for venous ulcers, including endovenous ablation, iliac vein stenting, and vein-valve repair techniques. Details of these procedures are described in this issue of Seminars . With so many permutations and combinations of venous disease, including superficial and deep vein abnormalities, that produce venous ulceration, as well as a plethora of diagnostic and therapeutic tools at our disposal, it is important to have an algorithm for venous ulcer management. Also important is knowledge about risk factors that can influence poor outcomes, despite interventions for venous ulcers. 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There has been considerable progress in our understanding of the pathophysiology, hemodynamics, venous imaging, and therapeutic options for venous ulcers, including endovenous ablation, iliac vein stenting, and vein-valve repair techniques. Details of these procedures are described in this issue of Seminars . With so many permutations and combinations of venous disease, including superficial and deep vein abnormalities, that produce venous ulceration, as well as a plethora of diagnostic and therapeutic tools at our disposal, it is important to have an algorithm for venous ulcer management. Also important is knowledge about risk factors that can influence poor outcomes, despite interventions for venous ulcers. 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| ispartof | Seminars in vascular surgery, 2015-03, Vol.28 (1), p.54-60 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Algorithms Angioplasty - methods Catheter Ablation - methods Female Follow-Up Studies Humans Lower Extremity Male Phlebography - methods Stents Stockings, Compression Surgery Treatment Outcome Ultrasonography, Doppler, Duplex Varicose Ulcer - diagnosis Varicose Ulcer - therapy Vascular Patency - physiology Vascular Surgical Procedures - methods Venous Insufficiency - diagnosis Venous Insufficiency - therapy Wound Healing - physiology |
| title | Algorithm-based approach to management of venous leg ulceration |
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