Chronic venous insufficiency

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Chronic venous insufficiency
Classification and external resources
ICD-10I87.2
ICD-9459.81
DiseasesDB13734
MedlinePlus000203
eMedicinearticle/461449
MeSHD014689
 
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Chronic venous insufficiency
Classification and external resources
ICD-10I87.2
ICD-9459.81
DiseasesDB13734
MedlinePlus000203
eMedicinearticle/461449
MeSHD014689

Chronic venous insufficiency or CVI is a medical condition where the veins cannot pump enough blood back to the heart.[1] As functional venous valves are required to provide for efficient blood return from the lower extremities, typically affects the legs. If the impaired vein function causes significant symptoms, such as eczema and ulceration, it is referred to as chronic venous disease. Women make up the largest demographic for this problem but it can affect men in certain occupations (e.g. paratroopers, utility pole linemen).

The condition has been known since ancient times and Hippocrates used bandaging to treat it. It is sometimes described as chronic peripheral venous insufficiency.

Signs and symptoms[edit]

Symptoms of CVI in the leg include the following:

CVI in the leg may cause the following:

Causes[edit]

Venous valves

CVI in the leg may be caused by the following:

Management[edit]

Surgical treatment of CVI attempts a cure by physically changing the veins with incompetent valves. Surgical treatments include:

Treatment of CVI in the leg involves managing the symptoms (and preventing the symptoms getting worse) instead of effecting a cure. It is sometimes called conservative treatment. Conservative treatments include:

See also[edit]

References[edit]

  1. ^ "Chronic Venous Insufficiency". Society for Vascular Surgery. December 1, 2009. 
  2. ^ a b c d e f g h i [1] Ann Vasc Surg. 2007 Sep;21(5):652-62. Dermatologic complications of chronic venous disease: medical management and beyond. Barron GS1, Jacob SE, Kirsner RS. PMID 17823046
  3. ^ a b c d e http://www.hopkinsmedicine.org/healthlibrary/conditions/cardiovascular_diseases/chronic_venous_insufficiency_85,P08250/