Format

Send to

Choose Destination
JAMA. 2012 Dec 26;308(24):2612-21. doi: 10.1001/jama.2012.111352.

Management of varicose veins and venous insufficiency.

Author information

1
Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis St, Boston, Massachusetts 02215, USA. ahamdan@bidmc.harvard.edu

Abstract

Chronic venous disease, reviewed herein, is manifested by a spectrum of signs and symptoms, including cosmetic spider veins, asymptomatic varicosities, large painful varicose veins, edema, hyperpigmentation and lipodermatosclerosis of skin, and ulceration. However, there is no definitive stepwise progression from spider veins to ulcers and, in fact, severe skin complications of varicose veins, even when extensive, are not guaranteed. Treatment options range from conservative (eg, medications, compression stockings, lifestyle changes) to minimally invasive (eg, sclerotherapy or endoluminal ablation), invasive (surgical techniques), and hybrid (combination of ≥1 therapies). Ms L, a 68-year-old woman with varicose veins, is presented. She has had vein problems over the course of her life. Her varicose veins recurred after initial treatment, and she is now seeking guidance regarding her current treatment options.

PMID:
23268520
DOI:
10.1001/jama.2012.111352
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center