eMedicine Specialties > Vascular Surgery > Medical Topics
Chronic Venous Insufficiency: Workup
Updated: May 11, 2009
Workup
Imaging Studies
Doppler bidirectional-flow studies and Doppler color-flow studies are used to assess venous flow, its direction, and the presence of thrombus.
Other Tests
- Photoplethysmography uses infrared light to assess capillary filling during exercise. Increased capillary filling is indicative of venous reflux and, consequently, incompetent veins.
- Outflow plethysmography involves placing and subsequently releasing a tourniquet on the lower extremity; the veins should quickly return to baseline pressures. Failure to do so indicates reflux.
More on Chronic Venous Insufficiency |
| Overview: Chronic Venous Insufficiency |
Workup: Chronic Venous Insufficiency |
| Treatment: Chronic Venous Insufficiency |
| Follow-up: Chronic Venous Insufficiency |
| Multimedia: Chronic Venous Insufficiency |
| References |
| Further Reading |
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References
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Maksimovic ZV, Maksimovic M, Jadranin D, Kuzmanovic I, Andonovic O. Medicamentous treatment of chronic venous insufficiency using semisynthetic diosmin--a prospective study. Acta Chir Iugosl. 2008;55(4):53-9. [Medline].
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Further Reading
Clinical guidelines
Smith and Nephew, Ltd. - Private For Profit Organization. 2002 (revised 2006 Jan). 39 pages. NGC:005254
Summary algorithm for venous ulcer care with annotations of available evidence.
Association for the Advancement of Wound Care - Private Nonprofit Organization. 2005. 25 pages. NGC:004280
Guideline for management of wounds in patients with lower-extremity venous disease.
Wound, Ostomy, and Continence Nurses Society - Professional Association. 2005. 42 pages. NGC:004431
Clinical trials
Assess the Efficacy and Tolerability of Antistax Film-Coated Tablets in Patients With Chronic Venous Insufficiency
THERMES ET VEINES: Spa for Prevention of Leg Ulcers
A New Method of Surgically Treating Varicose Veins and Venous Ulcers - a Study to Assess Clinical and Economic Value
Related eMedicine topics
Stasis Dermatitis
Deep Venous Thrombosis
Deep Venous Thrombosis and Thrombophlebitis
Varicose Veins
Venous Insufficiency
Keywords
chronic venous insufficiency, CVI, superficial venous insufficiency, venous insufficiency, postphlebitic syndrome, postthrombotic syndrome lipodermatosclerosis, superficial venous incompetence, venous incompetence, valvular incompetence, hypercoagulability, Virchow triad, venous stasis, venous stasis ulcers, venous reflux, stasis dermatitis, stasis ulcer, venous ulcer, DVT, deep vein thrombosis, varicose veins, junctional high-pressure disease, perforator high-pressure disease, venous hypertension, varicosities, varicosity, telangiectasia, venectasia, spider vein, vein disease, venous disease, swollen veins, telangiectatic veins
Workup: Chronic Venous Insufficiency