Investigation of chronic venous insufficiency - A consensus statement

Nicolaides, A. N. (2000) Investigation of chronic venous insufficiency - A consensus statement. Circulation, 102 20: E126-E163.

Author Nicolaides, A. N.
Title Investigation of chronic venous insufficiency - A consensus statement
Journal name Circulation   Check publisher's open access policy
ISSN 0009-7322
1524-4539
Publication date 2000-11-01
Sub-type Critical review of research, literature review, critical commentary
Open Access Status Not yet assessed
Volume 102
Issue 20
Start page E126
End page E163
Total pages 38
Place of publication Baltimore, MD United States
Publisher Lippincott Williams and Wilkins
Language eng
Formatted abstract
This consensus document provides an up-to-date account of the various methods available for the investigation of chronic venous insufficiency of the lower limbs (CVI), with an outline of their history, usefulness, and limitations. CVI is characterized by symptoms or signs produced by venous hypertension as a result of structural or functional abnormalities of veins. The most frequent causes of CVI are primary abnormalities of the venous wall and the valves and secondary changes due to previous venous thrombosis that can lead to reflux, obstruction, or both. Because the history and clinical examination will not always indicate the nature and extent of the underlying abnormality (anatomic extent, pathology, and cause), a number of diagnostic investigations have been developed that can elucidate whether there is calf muscle pump dysfunction and determine the anatomic extent and severity of obstruction or reflux. The difficulty in deciding which investigations to use and how to interpret the results has stimulated the development of this consensus document. The aim of this document was to provide an account of these tests, with an outline of their usefulness and limitations and indications of which patients should be subjected to the tests and when and of what clinical decisions can be made. This document was written primarily for the clinician who would like to learn the latest approaches to the investigation of patients with CVI and the new applications that have emerged from recent research, as well as for the novice who is embarking on venous research. Care has been taken to indicate which methods have entered the clinical arena and which are mainly used for research. The foundation for this consensus document was laid by the faculty at a meeting held under the auspices of the American Venous Forum, the Cardiovascular Disease Educational and Research Trust, the European Society of Vascular Surgery, the International Angiology Scientific Activity Congress Organization, the International Union of Angiology, and the Union Internationale de Phlebologie at the Abbaye des Vaux de Cernay, France, on March 5 to 9, 1997. Subsequent input by co-opted faculty members and revisions in 1998 and 1999 have ensured a document that provides an up-to-date account of the various methods available for the investigation of CVI.
Keyword Chronic Venous Insufficiency
Incompetent Perforating Veins
Muscle Pump Function
Skin Blood-flow
Elastic Compression Stockings
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
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Created: Tue, 07 Dec 2010, 20:02:12 EST