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Chronic venous insufficiency (CVI) is a medical condition in which blood pools in the veins, straining the walls of the vein. [1] The most common cause of CVI is superficial venous reflux which is a treatable condition. [ 2 ]
Traditionally, varicose veins were investigated using imaging techniques only if there was a suspicion of deep venous insufficiency, if they were recurrent, or if they involved the saphenopopliteal junction. This practice is now less widely accepted. People with varicose veins should now be investigated using lower limbs venous ultrasonography.
In chronic venous insufficiency, sonographic examination is of most benefit; in confirming varicose disease, making an assessment of the hemodynamics, and charting the progression of the disease and its response to treatment. It has become the reference standard for examining the condition and hemodynamics of the lower limb veins.
Venous ulcer is defined by the American Venous Forum as "a full-thickness defect of skin, most frequently in the ankle region, that fails to heal spontaneously and is sustained by chronic venous disease, based on venous duplex ultrasound testing."
The venous circulation going back to the heart, on the other hand, is a low-pressure system with a central venous pressure around 5mm Hg. This means that the movement of blood has to rely heavily on what’s called the skeletal muscle pump, which is just a way of saying that it relies on the contraction of surrounding skeletal muscles, which ...
PCD is fully reversible if the causal venous thrombus is promptly removed. [23] In the 40-60% of people who go on to develop venous gangrene, there is a 20-50% risk of amputation and 20-40% mortality rate. [24] [25] Following PCD resolution patients are more likely to develop venous insufficiency and post-thrombotic syndrome [26]
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