REVIEW  LATEST FRONTIERS OF HEMODYNAMICS, IMAGING AND TREATMENT OF OBSTRUCTIVE VENOUS DISEASE 

Italian Journal of Vascular and Endovascular Surgery 2018 September;25(3):262-72

DOI: 10.23736/S1824-4777.18.01353-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Deep vein valves incompetence and treatment implications

Simon C. HARDY ✉

Department of Vascular Surgery, East Lancashire Hospital NHS Trust, Blackburn, UK

Chronic venous disease due to deep vein valve incompetence is one of the most severe forms of chronic venous incompetence, leading to persistent ambulatory venous hypertension. The patient experiences pain, edema, varicose eczema, lipodermatosclerosis and eventually, in some cases, limb ulceration. If obstruction is ruled out, the most persistent cases of chronic venous disease often have deep vein valve incompetence as the underlying pathophysiology. A significant proportion of venous ulcers (8%) can remain unhealed after 5 years or more, and this disease also has major socio-economic consequences. This review discusses the pathophysiology and clinical management of chronic venous disease.

KEY WORDS: Venous insufficiency - Peripheral vascular disease - Edema - Varicose ulcer