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Chronic Venous Insufficiency: Workup

Author: Katherine E Brown, DO, Consulting Staff, Department of Surgery, University of California at San Diego
Contributor Information and Disclosures

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

References

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Further Reading

Clinical guidelines

Leg ulcer guidelines: a pocket guide for practice.
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

Contributor Information and Disclosures

Author

Katherine E Brown, DO, Consulting Staff, Department of Surgery, University of California at San Diego
Disclosure: Nothing to disclose.

Medical Editor

William H Pearce, MD, Chief, Division of Vascular Surgery, Violet and Charles Baldwin Professor of Vascular Surgery, Department of Surgery, Northwestern University School of Medicine
William H Pearce, MD is a member of the following medical societies: American College of Surgeons, American Heart Association, American Surgical Association, Association for Academic Surgery, Association of VA Surgeons, Central Surgical Association, New York Academy of Sciences, Society for Vascular Surgery, Society of Critical Care Medicine, Society of University Surgeons, and Western Surgical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Vincent Lopez Rowe, MD, Assistant Professor of Surgery, Department of Surgery, Division of Vascular Surgery, University of Southern California Medical Center
Vincent Lopez Rowe, MD is a member of the following medical societies: American College of Surgeons, Association for Academic Surgery, Peripheral Vascular Surgery Society, Society for Clinical Vascular Surgery, and Society for Vascular Surgery
Disclosure: Nothing to disclose.

CME Editor

Paolo Zamboni, MD, Professor of Surgery, Chief of Day Surgery Unit, Chair of Vascular Diseases Center, University of Ferrara, Italy
Paolo Zamboni, MD is a member of the following medical societies: American Venous Forum and New York Academy of Sciences
Disclosure: Nothing to disclose.

Chief Editor

William H Pearce, MD, Chief, Division of Vascular Surgery, Violet and Charles Baldwin Professor of Vascular Surgery, Department of Surgery, Northwestern University School of Medicine
William H Pearce, MD is a member of the following medical societies: American College of Surgeons, American Heart Association, American Surgical Association, Association for Academic Surgery, Association of VA Surgeons, Central Surgical Association, New York Academy of Sciences, Society for Vascular Surgery, Society of Critical Care Medicine, Society of University Surgeons, and Western Surgical Association
Disclosure: Nothing to disclose.

 
 
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