Prevalence of Venous Insufficiency in French Adults of the SUVIMAX Cohort

Background: The symptoms of venous insufficiency of the lower limbs (VILL) include a feeling of heaviness in the legs, pain, and nocturnal cramps, which may be combined with organic disorder (varicose veins). The objective of this study was to determine the prevalence of VTLL in terms of both varicose veins and functional symptoms in the participants of the SUVIMAX cohort, which is representative of the French population for the age range under consideration (women: 35–60; men: 45–60). Methods: Information on the venous status of 3065 subjects in SUVIMAX cohort were collected from three different sources: yearly systematic clinical (1994-1996), monthly follow-up by a telematic network (1994–1998) and non-specific questionnaire (1997). Two mutually exclusive populations were thus denned on medically diagnosed varicose and venous insufficiency. Results: Venous insufficiency was medically diagnosed in 192 men (14.6%) and 584 women (33.6%), and varicose veins were diagnosed in 143 men (74.5%) and 317 women (54.2%) from this group. Prevalence reported symptoms of venous insufficiency and of varicose veins was 13.6% and 7.4% respectively in men and 28.2% and 12.4% in women. Sex, age, body mass index and number of pregnancies were found to be correlated with the risk of venous insufficiency. Conclusions: VILL is a very common disease in French adults both as varicose veins and as functional symptoms. Venotonics were the main type of treatment but not enough use is made of elastic compression stockings. [Int Angiol 1999;18.171–5]

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Klippel–Trénaunay Syndrome – A Very Rare and Interesting Syndrome

Clinical Medicine Insights Circulatory Respiratory and Pulmonary Medicine ◽

10.4137/ccrpm.s21645 ◽

2015 ◽

Vol 9 ◽

pp. CCRPM.S21645 ◽

Cited By ~ 11

Author(s):

Deepak Sharma ◽

Sachin Lamba ◽

Aakash Pandita ◽

Sweta Shastri

Keyword(s):

Soft Tissue ◽

Vascular Malformation ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Varicose Veins ◽

Lower Limbs ◽

Port Wine ◽

Bone Deformity ◽

Klippel Trenaunay Syndrome

Klippel–Trénaunay syndrome (KTS or KT) is an infrequently seen dermatological syndrome, which is often viewed as a triad of vascular malformation (capillary malformations or port-wine brands), venous varicosity, and soft tissue and/or bony hypertrophy. We report a case of a 12-year-old male who presented to us with the symptoms of varicose plaques over both lower limbs and was diagnosed as a case of KTS. Management is normally conservative and includes stockings for compression of the branches to reduce edema because of chronic venous insufficiency; modern devices that cause on and off pneumatic compression; and rarely, surgical correction of varicose veins with lifelong follow-up. The orthopedic abnormalities are treated with epiphysiodesis in order to prevent (stop) overgrowing of limb and correction of bone deformity.

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Elastic compression treatment of chronic superficial venous insufficiency of the lower limbs based on Doppler venous pressure index measurements

Veins and Lymphatics ◽

10.4081/vl.2015.2230 ◽

2015 ◽

Vol 4 (1) ◽

Author(s):

Leonardo Corcos ◽

Daniele Pontello ◽

Tommaso Spina

Keyword(s):

Venous Insufficiency ◽

Varicose Veins ◽

Venous Pressure ◽

Lower Limbs ◽

Compression Stockings ◽

Elastic Compression ◽

Pressure Index ◽

Counter Pressure ◽

The Difference ◽

Compression Treatment

Ineffectiveness or discomfort from graduated elastic compression stockings (GES) in patients with chronic venous insufficiency (CVI) and/or varicose veins of the lower limbs (VVLL) can depend of inappropriate counter pressure applied. Counter pressure was calculated by Doppler venous pressure index (VPI). The aim of this study was to verify the value VPI in the choice of GES. A total of 1212 LL of 606 patients subjected to VPI measurements VPI correlated with the various sites of reflux (R) and C of Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification. The difference between standing VPI the and normal values=counter pressure to be applied by GES. Questionnaire to 96 patients with CVI/VVLL wearing GES. Mean VPI values: greater saphenous (GSV)>smaller saphenous; GSV with isolated venous reflux (R) at the leg>GSV at the thigh; additional R in perforators increases VPI in all the districts; superficial R increases VPI in PT. Relation between VPI/C of CEAP: P<0.05-0.0001; 81/83/96 (97.5%) patients improved; 0 complained. R in GSV at the leg and in perforators increases VPI in deep veins. Few discrepancies VPI/CEAP can be expected. Standing VPI is highly predictive. The best choice of GES can be based on the VPI measurement.

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LivRelief varicose veins cream in the treatment of chronic venous insufficiency of the lower limbs: A 6-week single arm pilot study

PLoS ONE ◽

10.1371/journal.pone.0208954 ◽

2018 ◽

Vol 13 (12) ◽

pp. e0208954

Author(s):

Heather C. Dwyer ◽

David C. Baranowski ◽

Perry V. Mayer ◽

Simona Gabriele

Keyword(s):

Pilot Study ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Varicose Veins ◽

Lower Limbs

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Reasons for patient non-compliance with compression stockings as a treatment for varicose veins in the lower limbs: A qualitative study

PLoS ONE ◽

10.1371/journal.pone.0231218 ◽

2020 ◽

Vol 15 (4) ◽

pp. e0231218

Author(s):

Jian-Mei Gong ◽

Jian-Shi Du ◽

Dong-Mei Han ◽

Xin-Yu Wang ◽

Shao-Long Qi

Keyword(s):

Qualitative Study ◽

Varicose Veins ◽

Lower Limbs ◽

Compression Stockings

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Endovenous cyanoacrylate glue to treat varicose veins and chronic venous insufficiency—Experience gained from our first 100+ truncal venous ablations in a multi-ethnic Asian population using the Medtronic VenaSeal™ Closure System

Phlebology The Journal of Venous Disease ◽

10.1177/0268355519826008 ◽

2019 ◽

Vol 34 (8) ◽

pp. 543-551 ◽

Cited By ~ 8

Author(s):

Tjun Y Tang ◽

Harsha P Rathnaweera ◽

Jia W Kam ◽

Tze T Chong ◽

Edward C Choke ◽

...

Keyword(s):

Saphenous Vein ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Great Saphenous Vein ◽

Varicose Veins ◽

Asian Population ◽

Closure System ◽

Cyanoacrylate Glue ◽

Catheter Technique

Objectives The aim of this prospective single-centre study is to assess the effectiveness and patient experience of the VenaSeal™ Closure System, a novel non-thermal, non-tumescent catheter technique, which uses cyanoacrylate glue to occlude the refluxing truncal superficial veins to treat varicose veins and chronic venous insufficiency, in a multi-ethnic Asian population from Singapore. Methods Seventy-seven patients (93 legs; 103 procedures) underwent VenaSeal™ Closure System ablation. Forty-nine (63.6%) for great saphenous vein incompetence, 16 (20.8%) bilateral great saphenous vein, 2 (2.6%) small saphenous vein and 10 (13.0%) combined unilateral great saphenous vein and small saphenous vein/anterior thigh vein reflux. In addition, 65/93 legs (69.9%) had C4–C6 disease. Patients were reviewed at 2 weeks, 3, 6 and 12 months post-procedure. Results There was 100% technical success. 28/77 (36.4%) underwent concomitant phlebectomies. All procedures were well tolerated with a mean post-operative pain score of 3.0 (range: 0–5). After three months, median patient satisfaction was 9.0 (interquartile range: 7.0–10.0). At two-week follow-up, the great saphenous vein was completely occluded in 88/88 (100%) veins and small saphenous vein completely closed in 11/11 (100%) veins. At three-month follow-up, the great saphenous vein was occluded in 51/53 (96.2%) veins and small saphenous vein completely closed in 5/5 (100%) veins. At six-month follow-up, the great saphenous vein was completely occluded in 42/45 (93.3%) veins and small saphenous vein completely closed in 5/7 (71.4%) veins. At one year, great saphenous vein and small saphenous vein occlusion rates were 54/59 (91.5%) and 5/8 (62.5%), respectively. There was one deep vein thrombosis. Transient superficial phlebitis was reported in 10/93 (10.8%) legs, which were all self-limiting. There were 9/103 (8.7%) anatomical recurrences, but no patients required re-intervention as they were asymptomatic. Conclusions Cyanoacrylate glue is a safe and efficacious modality to ablate refluxing saphenous veins in Asian patients in the short term. There is a high satisfaction rate and peri-procedural pain is low. Early results are promising but further evaluation and longer term follow-up are required.

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Anatomical Patterns in Varicose Vein Disease: A Duplex Scanning Study

Phlebology The Journal of Venous Disease ◽

10.1177/026835559501000303 ◽

1995 ◽

Vol 10 (3) ◽

pp. 94-97 ◽

Cited By ~ 14

Author(s):

J. J. Guex ◽

B. Hiltbrand ◽

J. M. Bayon ◽

F. Henri ◽

F. A. Allaert ◽

...

Keyword(s):

Saphenous Vein ◽

Venous Insufficiency ◽

Varicose Veins ◽

Previous Treatment ◽

Lower Limbs ◽

Duplex Scanning ◽

Consecutive Series ◽

Yield Data ◽

Varicose Disease ◽

Vein Disease

Objectives: To determine symptomatology, clinical class, and topographic patterns of varicose veins in a consecutive series of patients with venous complaints. Methods: We performed clinical examination and duplex scanning of 498 lower limbs in 317 patients with obvious varicose veins for whom no previous treatment had been undertaken. Results: Classes of chronic venous insufficiency (CVI) in 498 legs: grade 0: 117 (23.5%); gr 1: 310 (62.2%); gr 2: 47 (9.4%); gr 3: 24 (4.8%). Duplex-detected venous reflux was found in the greater saphenous vein territory (junction or trunk or related perforator or main tributary) in 423 limbs (85.3%) the sapheno-femoral junction was incompetent in only 342 legs (68.7%). Reflux was found in the lesser saphenous vein territory in 100 limbs (20.1%) and in sapheno-popliteal junction in 92 (18.5%). Strictly non saphenous origin of varicosities was found in 31 limbs (6.2%). Deep venous incompetence was found in 48 legs (9.6%). Conclusions: These findings yield data on the distribution and occurence of lower limbs venous lesions in patients with varicose disease.

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Lower Limb Varicose Veins's Clinical Profile and Management

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i3030894 ◽

2020 ◽

pp. 1-5

Author(s):

C. Z. Perdeshi ◽

Kustub A. Kulkani ◽

Revendra N. Yadav ◽

Mayur Nagwakar ◽

Niten H. Patil

Keyword(s):

Varicose Vein ◽

Lower Limb ◽

Varicose Veins ◽

Clinical Manifestations ◽

Clinical Profile ◽

Lower Limbs ◽

Study Results ◽

Common Technique ◽

Age Range ◽

Made In

The lower limbs’ venous system has the pressure of posture, and blood has to be pushed against gravity into the heart cavity. This issue is generally approached either by a cautious approach or by surgical interference, all of which are constrained. Attempts to study different clinical manifestations of varicose veins are being made in the present study. The overall number of 50 varicose vein patients was analysed and the study results were reported. Varicosity veins of the lower limb is a fairly normal pathological entity. In the 20-50 age range, the condition is more common. The main modality of the procedure is surgery. The most common technique performed is Saphenofemoral flush ligation with stripping.

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CHRONIC VENOUS INSUFFICIENCY

Polonia University Scientific Journal ◽

10.23856/3217 ◽

2019 ◽

Vol 32 (1) ◽

pp. 131-136

Author(s):

Antoni Stadnicki ◽

Martin Rusnák ◽

Anna Stadnicka

Keyword(s):

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Varicose Veins ◽

Chronic Venous Disease ◽

Postthrombotic Syndrome ◽

Venous Disease ◽

Compression Stockings ◽

Venous Leg Ulcer ◽

Color Flow ◽

Clinical Disorder

Chronic venous insufficiency (CVI) is a common, but underdiagnozed clinical disorder associated with a variety of signs and symptoms. The presence of leg edema in association with varicose veins, and venous leg ulcer in later disease stages defines the disease. The pathogenesis of chronic venous disease is based on venous reflux, obstruction, or a combination thereof. Prior postthrombotic syndrome is one of risk factor for CVI which may explain observed prevalence of thrombophilia in CVI. Color flow duplex ultrasound is the gold standard for nearly all diagnostic issues related to chronic venous disease. Compression stockings are the mainstay for conservative management. Earlier use of venous ablation therapy should be considered in symptomatic patients with superficial tortuous vein

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Graduated compression stockings effects on chronic venous disease signs and symptoms during pregnancy

Phlebology The Journal of Venous Disease ◽

10.1177/0268355519846740 ◽

2019 ◽

Vol 35 (1) ◽

pp. 46-55 ◽

Cited By ~ 2

Author(s):

Orlando Adas Saliba Júnior ◽

Hamilton Almeida Rollo ◽

Orlando Saliba ◽

Marcone Lima Sobreira

Keyword(s):

Pregnant Women ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Varicose Veins ◽

Intervention Group ◽

Signs And Symptoms ◽

Lower Limbs ◽

Control Group ◽

Venous Disease ◽

Compression Stockings

Objectives To evaluate the effectiveness of compression stockings in controlling the varicose veins in pregnant women. Method A prospective controlled randomized clinical trial was performed, including 60 women: intervention group (n = 30), who used compression stockings, and control group (n = 30). Diameters of the great saphenous vein and small saphenous vein in the lower limbs of pregnant women in an orthostatic position were analyzed using Duplex-ultrasound. The symptomatology and CEAP were evaluated. Results Great saphenous vein diameters in the intervention group were 0.37 cm initial and 0.32 cm final (p < 0.0001) in the right leg and 0.28 cm and 0.38 cm (p < 0.0001) in the control group. CEAP classification presented worsening in the control group (p < 0.0001). The signs and symptoms in the control vs. intervention group: pain (86.67% vs. 23.33%; p < 0.0001), edema (70.00% vs. 33.33%; p = 0.0045), and leg heaviness (93.33% vs. 13.33%; p < 0.0001). Conclusions Compression stockings were effective in controlling the varicose veins related to pregnancy.

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Telangiectases in Venous Insufficiency: Point of Reflux and Treatment Strategy

Phlebology The Journal of Venous Disease ◽

10.1177/026835550001500107 ◽

2000 ◽

Vol 15 (1) ◽

pp. 38-42 ◽

Cited By ~ 11

Author(s):

F. Mariani ◽

V. Bianchi ◽

S. Mancini ◽

S. Mancini

Keyword(s):

Venous Insufficiency ◽

Duplex Ultrasound ◽

Average Diameter ◽

Venous System ◽

Lower Limbs ◽

Perforating Veins ◽

Ceap Classification

Objective: To verify the role of sources of non-saphenous reflux in the appearance of reticular varices and telangiectases in areas other than the lateral venous system of Albanese. Setting: Institute of General Surgery and Surgical Specialisations, Interdepartmental Centre of Research, Treatment and Phlebolymphological Rehabilitation, University of Siena. Patients and methods: The study was carried out on 106 women aged 18–65 years who were affected by chronic venous insufficiency (CVI) at the Cla-s Ep Asl stage, according to the CEAP classification. The patients had telangiectases (200 telangiectactic areas) and reticular varices of the lower limbs of type II and III of the classification of Weiss, with competent saphenous trunks and a normal deep venous system. Sclerotherapy was therefore performed, after clinical and duplex ultrasound examination. The records of 185 telangiectactic area treated 3 years earlier were reviewed. Results: In all cases reticular varices was found together with the telangiectases. In 73.5% (147/200 areas) one or more incompetent perforating veins was found (average diameter 1.6 mm) and in 83.6% (123/147 areas) it was possible to establish that the main source of reflux was in the base of the telangiectasia. Complete elimination of microvarices was achieved in 88% of cases (176/200 areas; average sessions: 3.5). The complications were haemosiderin pigmentation (1.5%, 3/200 areas) and matting (1%, 2/200 areas). In 24 areas resistant to the therapy it was not possible to demonstrate the presence of reflux, while in 24.5% of cases (49/200 areas, average surface 15.4 cm2) two sessions of sclerotherapy were sufficient eventually to obtain (about 4 weeks later) the disappearance of the micro-varices. Follow-up after 3 years revealed the appearance of new telangiectases in 58.9% of cases (109/185 check-ups). Of these 95.4% (104/109) arose in areas other than those treated and therefore only 4.6% (5/109) recurred in the area where the sclerosing treatment had been carried out. Conclusion: In CVI all telangiectases are accompanied by reticular varices, even when not visible on clinical examination; in most cases the sources of reflux are distinguishable as incompetent perforating veins and are situated beneath telangiectactic efflorescences.

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