Universität zu Köln

Rabe, Eberhard and Pannier, Felizitas (2020). What is evidence-based in the treatment of chronic venous insufficiency? Internist, 61 (12). S. 1230 - 1238. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-1289

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Abstract

Chronic venous diseases belong to the most frequent diseases. They can be asymptomatic, cause subjective symptoms or lead to objectif alterations, such as edema, cutaneous alterations and venous leg ulcers. This ultimately results in chronic venous insufficiency (CVI). Varicose veins are a progressive degenerative disease of the venous walls in the superficial venous system of the legs, which can decisively impair the quality of life of those affected. The classification of chronic venous diseases is carried out with the CEAP classification according to clinical, etiological, anatomical and pathophysiological criteria. Instruments, such as the venous clinical severity score, are used for assessment of the severity. The treatment of chronic venous diseases targets the improvement of the subjective complaints and objectifiable alterations. In addition, complications, such as phlebitis and formation of ulcers should be avoided. Invasive procedures, compression treatment and pharmaceutical treatment are complementary and a combination of these procedures can be meaningful. General physical measures, such as propping up the legs and frequent walking, are part of the basic measures for every patient with venous diseases. Compression therapy with medical compression stockings is the gold standard in the noninvasive treatment of symptomatic venous diseases, possibly supplemented by anti-inflammatory drugs. A varicose vein should be eliminated whenever possible. Stripping operations and the less invasive endovenous thermal ablation show comparable results for saphenous vein varicosis. Foam sclerotherapy and percutaneous phlebectomy are the methods of choice for elimination of side branch varicosis; however, recurrences of varicose veins are frequent.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Rabe, Eberhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Pannier, Felizitas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-312311
DOI:	10.1007/s00108-020-00899-6
Journal or Publication Title:	Internist
Volume:	61
Number:	12
Page Range:	S. 1230 - 1238
Date:	2020
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-1289
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ENDOVENOUS LASER-ABLATION; COMPRESSION THERAPY; CONSENSUS STATEMENT; FOAM SCLEROTHERAPY; BONN VEIN; DISORDERS; EPIDEMIOLOGY; METAANALYSIS; SEVERITY Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31231