Author/Editor     Mlačak, Blaž; Ivka, Branimir; Ladika, Rudolf
Title     Kronične bolezni povrhnjih ven in kronično vensko popuščanje
Translated title     Chronic venous diseases and chronic venous insufficiency
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 80, št. 12
Publication year     2011
Volume     str. 917-32
Language     slo
Abstract     Chronic venous disease of the legs occurs commonly in the general population. Estimates of the prevalence of varicose veins vary widely and range from 10-91%. These variations reflect difference s in the variability of study populations in terms of age, race and gender, methods of measurements and disease definition. Family history, age and pregnancy have been established as risk factors for developing varicose veins. Evidence on other risk factors for venous disease, such as obesity and prolonged standing, is inconclusive. Recent findings suggest that inflammatory processes are involved in the structural re modelling in venous valves and in the vein wall leading to valvular incompetence and the development of varicose veins. The CEAP classification has been adopted worldwide to facilitate the uniform communication and the description of all class es of the disease. For the practising physician, the duplex scan is avaluable instrument to provide correct diagnosis and to guide the treatment. This ultrasound technique helps to identify the presence and sites of the reflux and the potential occlusion of the proximal veins. The possible treatments are the following: conservative therapy including compression, venoactive drugs and exercises as well as surgery and sclerotherapy. Endovenous operations with laser or radiofrequency are new, promising therapeutic procedures.
Descriptors     VARICOSE VEINS
VENOUS INSUFFICIENCY
RISK FACTORS
ULTRASONOGRAPHY, DOPPLER, DUPLEX
PLETHYSMOGRAPHY
PHLEBOGRAPHY
SCLEROTHERAPY
OCCLUSIVE DRESSINGS