[Surgical treatment of chronic venous insufficiency]. / Kirurgi ved kronisk venøs insuffisiens.
Tidsskr Nor Laegeforen
; 129(22): 2378-80, 2009 Nov 19.
Article
en Nor
| MEDLINE
| ID: mdl-19935941
BACKGROUND: Patients with chronic venous insufficiency (CVI) may develop serious symptoms such as pain, oedema, venous claudication and leg ulcers. Conventional therapy includes compression therapy, elevation of the extremities, and in some cases surgical elimination of superficial varicose veins. This article presents and discusses surgical treatment (reconstructive deep venous surgery and transplantation) and endovascular therapy (percutaneous recanalization of post-thrombotic deep venous occlusions). MATERIAL AND METHODS: The article is based on literature identified through non-systematic searches in the PubMed and Cochrane databases. RESULTS: After reconstructive deep venous surgery, ulcer healing is reported in 60-78 % of cases and clinical improvement in 90 %. After such surgery, the median ulcer-free period seems to be longer in primary (congenital, familial), 54 months, than in secondary (after deep vein thrombosis) chronic venous insufficiency (18 months). Recanalization of deep venous occlusions is successful in 90 % of patients who have undergone endovascular treatment of venous claudication and leg ulcer. INTERPRETATION: Reconstructive deep venous surgery constitutes a real treatment choice for patients with chronic venous insufficiency for whom conventional measures have failed. The benefits are ulcer-free periods, clinical improvement, return to work and improved quality of life.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Vasculares
/
Insuficiencia Venosa
/
Úlcera de la Pierna
Aspecto:
Patient_preference
Límite:
Humans
Idioma:
Nor
Revista:
Tidsskr Nor Laegeforen
Año:
2009
Tipo del documento:
Article
País de afiliación:
Noruega
Pais de publicación:
Noruega