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[Venous insufficiency in the lower limbs].
Tidsskr Nor Laegeforen. 2009 Nov 05; 129(21):2256-9.TN

Abstract

BACKGROUND

Venous insufficiency is a common condition that presents with various symptoms and is often treated inadequately. The purpose of the article is to provide an overview of the prevalence, recommended investigations and indications for treatment of venous insufficiency.

MATERIAL AND METHOD

The literature reviewed was identified through a non-systematic search in PubMed based on the authors' experience in research, investigations and treatment of this patient group.

RESULTS

Venous insufficiency is a common condition with a prevalence of about 30 %. Some patients will develop distal dystrophic skin changes (prevalence <or= 3 %) and a few will experience venous leg ulcers (prevalence < 1 %). Dystrophic skin changes and venous leg ulcers can be caused by an isolated superficial venous insufficiency, accessible for varicose vein surgery.

INTERPRETATION

Further evaluations (e.g. colour duplex scanning and direct measurement of venous pressure or plethysmography) are recommended for all patients with skin changes, recurrent varices, previous deep venous thrombosis or other circumstances rendering it difficult to conclude from clinical investigations. Indications for superficial venous surgery are mainly based on symptoms. Prophylactic surgery on superficial veins is considered only in cases with dystrophic skin changes or ulcers. Compression therapy represents the best prophylactic measure to reduce varicose vein progression.

Authors+Show Affiliations

Sirkulasjonsfysiologisk avdeling, Oslo vaskulaere senter, Oslo universitetssykehus, Aker, 0514 Oslo, Norway. carlerik.slagsvold@aus.noNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

nor

PubMed ID

19898578

Citation

Slagsvold, Carl-Erik, et al. "[Venous Insufficiency in the Lower Limbs]." Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke, vol. 129, no. 21, 2009, pp. 2256-9.
Slagsvold CE, Stranden E, Rosales A. [Venous insufficiency in the lower limbs]. Tidsskr Nor Laegeforen. 2009;129(21):2256-9.
Slagsvold, C. E., Stranden, E., & Rosales, A. (2009). [Venous insufficiency in the lower limbs]. Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke, 129(21), 2256-9. https://doi.org/10.4045/tidsskr.09.0238
Slagsvold CE, Stranden E, Rosales A. [Venous Insufficiency in the Lower Limbs]. Tidsskr Nor Laegeforen. 2009 Nov 5;129(21):2256-9. PubMed PMID: 19898578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Venous insufficiency in the lower limbs]. AU - Slagsvold,Carl-Erik, AU - Stranden,Einar, AU - Rosales,Antonio, PY - 2009/11/10/entrez PY - 2009/11/10/pubmed PY - 2009/12/16/medline SP - 2256 EP - 9 JF - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke JO - Tidsskr. Nor. Laegeforen. VL - 129 IS - 21 N2 - BACKGROUND: Venous insufficiency is a common condition that presents with various symptoms and is often treated inadequately. The purpose of the article is to provide an overview of the prevalence, recommended investigations and indications for treatment of venous insufficiency. MATERIAL AND METHOD: The literature reviewed was identified through a non-systematic search in PubMed based on the authors' experience in research, investigations and treatment of this patient group. RESULTS: Venous insufficiency is a common condition with a prevalence of about 30 %. Some patients will develop distal dystrophic skin changes (prevalence <or= 3 %) and a few will experience venous leg ulcers (prevalence < 1 %). Dystrophic skin changes and venous leg ulcers can be caused by an isolated superficial venous insufficiency, accessible for varicose vein surgery. INTERPRETATION: Further evaluations (e.g. colour duplex scanning and direct measurement of venous pressure or plethysmography) are recommended for all patients with skin changes, recurrent varices, previous deep venous thrombosis or other circumstances rendering it difficult to conclude from clinical investigations. Indications for superficial venous surgery are mainly based on symptoms. Prophylactic surgery on superficial veins is considered only in cases with dystrophic skin changes or ulcers. Compression therapy represents the best prophylactic measure to reduce varicose vein progression. SN - 0807-7096 UR - https://www.unboundmedicine.com/medline/citation/19898578/[Venous_insufficiency_in_the_lower_limbs]_ L2 - http://tidsskriftet.no/article/1911041 DB - PRIME DP - Unbound Medicine ER -