What is the Medical Rationale for the Treatment of Varicose Veins?

Author:

Meissner M H1

Affiliation:

1. Department of Surgery, University of Washington School of Medicine, Seattle, WA, USA

Abstract

Varicose veins occur in up to one-third of Western populations and are associated with clinical manifestations ranging from asymptomatic, isolated varicose veins (C2 disease) to venous ulceration. While the development of less invasive treatment options, such as endovenous ablation and sclerotherapy, have been well accepted by patients they have led to increased utilization of scarce healthcare resources. While few would argue with the treatment of acute complications such as superficial venous thrombosis and variceal haemorrhage, the role of interventional treatment in the management of lifestyle limiting symptoms and the prevention of disease progression may be debatable. Good-quality evidence does suggest that surgical management of varicose veins is associated with improved quality of life at costs below the thresholds of many Western healthcare systems. However, the progression of isolated C2 disease to advanced chronic venous insufficiency occurs infrequently and the role of treatment to prevent such progression remains undefined at present.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

Cited by 11 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Management of Venous Insufficiencies and Its Complications;Atlas of Dermatology, Dermatopathology and Venereology;2021-10-05

2. Venous Disease Management and Therapies;Atlas of Dermatology, Dermatopathology and Venereology;2020

3. Vascular training does matter in the outcomes of saphenous high ligation and stripping;Journal of Vascular Surgery: Venous and Lymphatic Disorders;2019-09

4. Efficacy of compression hosiery and elastic bandaging after surgical treatment of varicose veins;Angiology and vascular surgery;2019

5. Evidence for varicose vein treatment: an overview of systematic reviews;Sao Paulo Medical Journal;2018-07-16

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