Varicose veins classification: Difference between revisions
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==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<ref name="pmid19029007">{{cite journal| author=Vasquez MA, Munschauer CE| title=Venous Clinical Severity Score and quality-of-life assessment tools: application to vein practice. | journal=Phlebology | year= 2008 | volume= 23 | issue= 6 | pages= 259-75 | pmid=19029007 | doi=10.1258/phleb.2008.008018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19029007 }} </ref>. | |||
==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 | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Vascular surgery]] | [[Category:Vascular surgery]] | ||
[[Category:Medical conditions related to obesity]] | [[Category:Medical conditions related to obesity]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 00:38, 30 July 2020
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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[1].
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
References
- ↑ Vasquez MA, Munschauer CE (2008). "Venous Clinical Severity Score and quality-of-life assessment tools: application to vein practice". Phlebology. 23 (6): 259–75. doi:10.1258/phleb.2008.008018. PMID 19029007.