Varicose veins overview
|
Varicose veins Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Varicose veins overview On the Web |
|
American Roentgen Ray Society Images of Varicose veins overview |
|
Risk calculators and risk factors for Varicose veins overview |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg, although varicose veins occur elsewhere. Veins have leaflet valves to prevent blood from flowing backwards (retrograde). Leg muscles pump the veins to return blood to the heart. When veins become enlarged, the leaflets of the valves no longer meet properly, and the valves don't work. A common cause of valve failure is Deep Vein Thrombosis (DVT), which can cause permanent damage to the valves. The blood collects in the veins and they enlarge even more. Varicose veins are common in the superficial veins of the legs, which are subject to high pressure when standing.
Complications
Serious complications are rare but severe varicosities can lead to major complications, due to the poor circulation through the affected limb.
Diagnosis
Symptoms
Besides cosmetic problems, varicose veins are often painful, especially when standing or walking. They often itch, and scratching them can cause ulcers.
Treatment
Medical Therapy
Non-surgical treatments include sclerotherapy, elastic stockings, elevating the legs, and exercise. The traditional surgical treatment has been vein stripping to remove the affected veins. Newer surgical treatments are less invasive (see radiofrequency ablation) and are slowly replacing traditional surgical treatments. Since most of the blood in the legs is returned by the deep veins, and the superficial veins only return about 10%, they can be removed or ablated without serious harm.[1]
Surgery
Several techniques have been performed for over a century, from the more invasive named "saphenous stripping" up to mini invasives like superficial phlectomies and CHIVA cure.