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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 ]
Causes: Chronic venous insufficiency, varicose veins, damaged vein walls from trauma, genetic causes: Treatment: Ligation of leaking veins, lifestyle changes: Frequency: Arterial insufficiency: Younger than 45 years old - 12% Older than 45 years old - 19.6% (mild), 5.9% (severe) Venous leakage: 7.84% (of 67 patients) [1]
Chronic venous insufficiency (CVI) is when the valves in the leg veins don’t work right and inappropriately allow blood to flow backward, back into the legs/feet from the effects of gravity.
Varicose veins have no specific cause. [2] Risk factors include obesity, lack of exercise, leg trauma, and family history of the condition. [3] They also develop more commonly during pregnancy. [3] Occasionally they result from chronic venous insufficiency. [2] Underlying causes include weak or damaged valves in the veins. [1]
The exact cause of venous ulcers is not certain, but a common denominator is generally venous stasis, which may be caused by chronic venous insufficiency, [8] and/or congestive heart failure. [9] Venous stasis causes the pressure in veins to increase.
If this happens for prolonged periods of time, it progresses to what we call chronic venous insufficiency or CVI. With CVI the stagnant blood in the lower extremities starts to cause an inflammatory reaction in the vessels and the surrounding tissue, which leads to fibrosis, and potentially even ulcers, called venous stasis ulcers.
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