Management of Chronic Venous Disease

McArdle, Michael; Hernandez-Vila, Eduardo A.

doi:10.14503/thij-17-6357

Cited by 33 publications

(35 citation statements)

References 13 publications

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“… 2 – 4 The annual direct cost of treating CVD in the United States is ~3 billion dollars, and in Germany, the annual average cost of illness for a patient with a leg ulcer has been estimated at 9,060 euros. 2 , 3 , 5 …”

Section: Introductionmentioning

confidence: 99%

“…8 , 9 Other risk factors for CVD include older age, family history, female sex, pregnancy, obesity, occupations performed while standing, high-impact physical activity, habits of tobacco smoking and excessive alcohol consumption, and also comorbid conditions such as deep vein thrombosis, superficial thrombophlebitis, and obstructive sleep apnea. 3 , 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

“…Moreover, numerous diseases of veins and arteries, if not treated effectively or not treated at all, may lead to life-threatening consequences, including various systemic manifestations that endanger the health and life of patients or serious complications regarding extremities. 3 , 13 , 14 , 16 …”

Section: Introductionmentioning

confidence: 99%

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Combined therapy in the treatment of mixed etiology leg ulcer – case report

Pasek¹,

Cieślar²,

Sieroń³

2018

TCRM

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The most frequent causes of leg ulcers are chronic venous disease (CVD) related mainly to venous hypertension and peripheral arterial disease (PAD) related to disseminated atheromatous lesions in lower limb arteries. In 15%–21% of patients, ulcers of mixed venous-arterial etiology occur, which are usually more resistant for conservative therapy (compression therapy, pharmacotherapy, wearing elastic stockings, leg elevation and massage, change of lifestyle, and regular physical exercises). The contemporary model of complex therapy of leg ulcers in the course of chronic venous and arterial insufficiency more often also comprises numerous physical therapy procedures as associated therapy. This paper presents beneficial results of treatment applied to a 58-year-old patient with 1-month lasting painful chronic ulcers of both shins of mixed venous-arterial etiology, resistant to conservative therapy, which was performed by using the device Laserobaria-S for local combined physical therapy including simultaneous action of hyperbaric oxygen, extremely low-frequency (ELF) variable magnetic field, and low-energy light radiation. As a result of a 9-week therapeutic cycle consisting of 30 daily procedures, a complete healing of ulcers in both shins with accompanying subsidence of pain and substantial reduction in the intensity of local inflammation around the ulcer was obtained. The patient reported no side effects, and no complications were observed during the therapy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Combined therapy in the treatment of mixed etiology leg ulcer – case report

Pasek¹,

Cieślar²,

Sieroń³

2018

TCRM

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“…Statistically, CVD is ten times more prevalent than peripheral arterial disease. 9 However, due to its insidious nature, it is often ignored by the patients particularly in countries like Bangladesh. Most patients present late with significant morbidity and complications which has considerable socio-economic implications.…”

Section: Discussionmentioning

confidence: 99%

“…Inflammatory cells have a central role in the pathophysiology of chronic venous disease and venous leg ulcers. Endothelial dysfunction and expression of adhesion molecules are also important pathophysiological factors that attract leukocytes initiating events of 9 Avoiding prolonged standing or sitting and reducing body weight also help in reducing venous hypertension.…”

Section: Pathophysiology Of Cvdmentioning

confidence: 99%

Chronic Venous Disorders: A Contemporary Review

Bashar

2019

Cardiovasc. j.

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Chronic venous disease is a common medical condition of the lower limbs that affects a large number of people in every part of the world including the Indian subcontinent. The disease is insidious in nature and therefore often ignored in the early stages. In advanced stages, it causes significant discomfort in the affected limbs which adversely influences quality of life, work hours and treatment expenses. The present article reviews the various aspects of the disease including its pathophysiology and recent management updates. Cardiovasc. j. 2019; 12(1): 59-63

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A critical appraisal of chronic venous insufficiency ultrasound guidelines—Views of Australian sonographers

Liu

Xu²,

Ziegenbein

et al. 2022

Sonography

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Background: Duplex ultrasound is the first line of investigation for patients seeking treatment for varicose veins disease. In Australia, chronic venous insufficiency ultrasound examinations (CVI-US) are primarily performed by sonographers. The use of clinical guidelines facilitates the practice of ultrasound, and more importantly, provides an assurance to the integrity and quality of the examinations. Our aim is to assess the quality of currently available guidelines and provide recommendations for choosing the appropriate guideline to use and suggestions for future guideline development. Method: We performed a systematic literature search of the Cochrane, EMBASE, EBSCO, Medline, PubMed, Google and the database of the University of Sydney. The scope covered guidelines from 2000 to 2020 available in English. Identified guidelines were appraised by four independent reviewers (sonographers) using the revised version of the Appraisal of Guidelines Research and Evaluation instrument. Results: A total of 10 guidelines were included for critical appraisal. Analysis of the results showed most guidelines were rated low quality except for the International Union of Phlebology consensus document (2006) and technical guideline by Zygmunt and colleagues (2020). Overall, Domain 1 (Scope and purposes) achieved the highest score (total score = 67.9% ± 17.3%), whereas, Domain 3 (Rigour of development) had the lowest score (total score = 41.1% ± 13.5%). Conclusion:The overall quality of CVI-US guidelines is poor. This study highlights the demand for developing ultrasound guidelines based on methodologically sound principles along with updated scientific evidence. A stronger emphasis should be given to clinical applicability in the Australian context.

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Management of Chronic Venous Disease

Cited by 33 publications

References 13 publications

Combined therapy in the treatment of mixed etiology leg ulcer – case report

Combined therapy in the treatment of mixed etiology leg ulcer – case report

Chronic Venous Disorders: A Contemporary Review

A critical appraisal of chronic venous insufficiency ultrasound guidelines—Views of Australian sonographers

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Management of Chronic Venous Disease

Cited by 33 publications

References 13 publications

Combined therapy in the treatment of mixed etiology leg ulcer &ndash; case report

Combined therapy in the treatment of mixed etiology leg ulcer &ndash; case report

Chronic Venous Disorders: A Contemporary Review

A critical appraisal of chronic venous insufficiency ultrasound guidelines—Views of Australian sonographers

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Combined therapy in the treatment of mixed etiology leg ulcer – case report

Combined therapy in the treatment of mixed etiology leg ulcer – case report