Varicose veins classification

Varicose veins Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Varicose veins from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Varicose veins classification On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Varicose veins classification All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
Guidance
FDA on Varicose veins classification
on Varicose veins classification
Varicose veins classification in the news
Blogs on Varicose veins classification
Directions to Hospitals Treating Varicose veins
Risk calculators and risk factors for Varicose veins classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The CEAP (Clinical, Etiological, Anatomical, and Pathophysiological) Classification has been developed to help in diagnosis, staging, and treating Varicose veins/Chronic Venous Insufficiency. The patients with Varicose veins can present with symptoms ranging from discomfort, itching, ulceration, swelling to DVT (Deep vein thrombosis) depending on the severity of the disease. This classification helps us stage the disease, while also providing useful information about the anatomy, cause, and the pathophysiology of the disease which with help in deciding the method of management. The CEAP classification has four major categories(Clinical, Etiological, Anatomical, and Pathophysiological); each of them divided into multiple subcategories.

Classification

According to the CEAP classification varicose veins which is a part of chronic venous insufficiency can be staged as follows:

Clinical classification

• C0-No visible signs of venous disease
• C1-Telengectases or reticular veins
• C2-Varicose veins
• C3- Edema without skin changes
• C4-Changes in the skin and subcutaneous tissues: A) Pigmentation or eczema, B)Lipodermatosclerosis or atrophie blanche
• C5- Healed Ulcer
• C6-Active ulcer

Etiologic Classification

• Congenital(ie Klippel Trenauney Syndrome)
• Primary
• Secondary(ie Post-thrombotic syndrome,trauma)
• No venous cause identified)

Anatomic classification

• Superfiicial
• Deep
• Perforator
• No venous location identified

Pathophysiologic Classification

• Reflux
• Obstrucion or Thrombosis
• Reflux and obstruction
• No venus pathophysiology identified in advanced stages