Chronic Venous Disease (CVD) refers to other chronic conditions related to or caused by veins that become diseased or abnormal. These problems can include:
Varicose veins are veins that become dilated, thickened, twisted or elongated blood vessels that don’t control blood flow as they should. The pressure in normal veins is low and the pressure in diseased veins is higher. In some cases, they can be small spider veins and even appear thread-like. In other cases they may appear as large grape-like clusters under the skin. Some patients may have varicose veins that are not visible to the naked eye, however are easily identified under diagnostic ultrasound.
Varicose veins occur in both men and women. Statistically 55% of women over the age of 50 and 45% of men over the age of 50 have medically treatable vein disease. The anatomy of the deeper veins in the abdomen and pelvis are the root cause of superficial venous disease in 50% of cases and almost always the cause in patients who have reoccurrance. Vein disease is more often in women than men, this is due to pregnancy and hormonal changes. Otheher risk factors include obesity, standing for long periods of time, sitting for long periods of time, trauma and family history or heredity.
There are several procedures that can be used alone or in combination to treat varicose veins. These include:
Sclerotherapy, in which a provider injects the veins with a solution that causes the vein to close and the blood is then directed through healthier veins. This is a common treatment option, but may require multiple treatments. It is useful for treating small and medium sized varicose veins.
Microsclerotherapy, which is similar to sclerotherapy, but uses different solutions and injection techniques. It is especially effective in treating spider veins.
Laser surgery, in which the heat from a laser beam destroys spider vein, but does not harm the skin. It is usually less effective than sclerotherapy for varicose veins in the legs. It also causes side effects, such as bruising, blistering and discoloration.
Surgical vein stripping, in which the varicose vein is removed through small incisions at the groin, knee and ankle. This is an option for treating larger varicose veins.
Endovenous thermal ablation, in which a thin tube (catheter) is inserted into the vein. Then, the surgeon applies heat through the tube, causing the vein to collapse. A scar results and the blood is forced through nearby healthy veins. This procedure is also used to treat larger varicose veins.
Coil embolization, in which a catheter is first places into a large vein in the leg or calf; then, a small coil is inserted into the catheter and guided into the vein; alcohol is then injected. The alcohol is an irritant to the vein lining and causes it to close and scar. Again, the blood is rerouted to nearby healthy veins. This procedure requires local anesthesia.
Ambulatory phlebectomy, in which the doctor removes larger varicose veins in the legs through a series of tiny skin punctures (holes). Local anesthesia is used. There is usually little scarring.
Endoscopic perforator vein surgery, which is used for advanced varicose veins that have caused leg ulcers. The doctor makes a small incision and inserts a thin video camera to see and then close veins near the skin that lead to the deep veins in the legs.
Do your legs look similar to this? Many people suffer from vein disease and are not diagnosed by their primary care physician. This is frustrating on many levels for vein centers and physicians who specialize in vein treatment.
This patient has an anterior circumflex varicosity off of an anterior accessory saphenous vein that connects into a lateral calf perforator. There are two sources of this patients problem, one at the top of the leg and the other in the lateral mid calf. For complete treatment, both have to be closed. With proper techniques the vein doesn't have to be phlebectomized.
The veins in the human body play an important role in circulation, carrying blood from the distal parts of the body back to the heart. The venous system is a low pressure low energy system in its non diseased state. Yet, as people age, veins give out and problems can develop in the veins and cause a variety of complications. The facts speak for themselves 50% of Americans over the age of 50 has some sort of medical vein disease.
Signs and symptoms of venous insufficiency:
The average patients has vein disease for over a decade before they seek treatment. This is due to early symptoms may seem minor and also start in the 30's and 40's, when most adults bodies are changing rapidly. In some patients vein disease can become manifest itself in more serious ways, even life-threatening if they are not treated or diagnosed properly. It is very important to be aware of symptoms and seek medical advice at the earliest sign of a problem. Find out more about venous insufficiency ...
Deep Vein Thrombosis occurs when a blood clot forms in a vein. Blood clots are usually due to three things: A change in blood chemistry (taking hormones, birth control, herbs or anesthesia). Trauma (self explanatory) and stagnation (long flights, car rides). Blood clots usually develop in the lower leg, thigh or pelvis. In the lower leg many patients complain of a "cramp that just won't go away". In the case of large blood clots the entire leg may swell. Read more about DVT ...
Pulmonary Embolism occurs when part or all of a blood clot breaks off and travels to the lungs. Find out more about PE ...
CVI refers to other chronic conditions related to or caused by veins that become diseased or abnormal. These problems can include:
Read more about venous insufficiency ...
Lymphedema is a lymphatic obstruction, a blockage of the lymph vessels that drain fluid from tissues throughout the body and allow immune cells to travel where they are needed. Read more about lymphedema ...
Compression therapy means wearing socks or stockings designed to support your veins and increase circulation in your legs. Find out more about medical compression therapy....
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