Protocolo diagnóstico y terapéutico de la insuficiencia venosa crónica de las extremidades inferiores

  1. Brizuela, J. A.
  2. San Norberto García, Enrique
  3. Merino Díaz, Borja
  4. Vaquero Puerta, Carlos
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2013

Título del ejemplar: Enfermedades cardiovasculares (XI): enfermedades vasculares

Serie: 11

Número: 45

Páginas: 2717-2720

Tipo: Artículo

DOI: 10.1016/S0304-5412(13)70688-7 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Objetivos de desarrollo sostenible

Resumen

The prevalence of chronic venous insufficiency (CVI) is very high. Etiologically CVI may be primary (varicose veins), or secondary (post-trombotic syndrome). The major clinical features of CVI are dilated veins, edema, cutaneous trophic lesions and venous leg ulcers. The fundamental diagnostic test of CVI is doppler ultrasound scan in deep and superficial venous system of the lower limbs. Phlebography has poor diagnostic use and is done only in complex clinical contexts. Conservative treatment involves lifestyle changes for the patient and compression stockings. Venotonic drugs have limited role to play in the symptomatic therapy. Treatment of choice for varicose veins is the venous ablative surgery either by traditional surgery (stripping of saphenous and/or phlebectomy) or radiofrequency ablation, laser or foam sclerotherapy.

Referencias bibliográficas

  • Cavezzi A, Labropoulos N, Partsch H, Ricci S, Caggiati A, Myers K. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs: UIP consensus document. Part II. Anatomy. Eur J Vasc Endovasc Surg. 2006;31(3):288-99.
  • Coleridge-Smith P, Labropoulos N, Partsch H, Myers K, Nicolaides A, Cavezzi A. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs: UIP consensus docu-ment. Part I. Basic principles. Eur J Vasc Endovasc Surg. 2006;31(1):83-92.
  • Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, Gloviczki ML. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011;53(5)Suppl:S2-48.
  • Martínez MJ, Bonfill X, Moreno RM, Vargas E, Capellà D. Phlebotonics for venous insufficiency. Cochrane Database Syst Rev. 2005;(3):CD003229.
  • Nicolaides AN. Investigation of chronic venous insufficiency: A consensus statement (France, March 5-9, 1997). Circulation. 2000;102(20):E126-63.
Fuente de los datos: Dialnet