[Lower limb chronic venous insufficiency: contemporary problems in diagnosis, classification and treatment].
The paper presents a brief analysis of contemporary problems in management of patients with lower limb chronic venous insufficiency (CVI). During the last decade occurrence of complicated CVI tended to diminish resulting from well-directed efforts in improvement of diagnostic and therapeutic methods, active participation of different specialists in management programs. The paper addresses the questions of assessment planning dependent on CVI manifestation and role of various diagnostic modalities (morphological and functional). The scope of therapeutic methods is enumerated, with special attention to their practical value and unresolved issues. Ultrasonography enabled to broaden indications for minimally invasive procedures in varices surgery. Accumulation of rich experience in sclerotherapy made possible to develop distinct indications for the procedure. The authors delineate promising directions for further research in CVI management.
Pokrovskiĭ
A V
AV
Department of Vascular Surgery, A. V. Vishnevsky Institute of Surgery, Moscow, Russia.
Sapelkin
S V
SV
D001458:Bandages; D002908:Chronic Disease; D005419:Flavonoids / Q000627:therapeutic use; D006801:Humans; D017078:Laser-Doppler Flowmetry / Q000379:methods; D007866:Leg / Q000098:blood supply*; D008833:Microcirculation / Q000502:physiology; D010690:Phlebography / Q000379:methods; D017156:Photoplethysmography / Q000379:methods; D011877:Radionuclide Imaging / Q000379:methods; D015911:Sclerotherapy; D013817:Thermography / Q000379:methods; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods; D014689:Venous Insufficiency / Q000145:classification / Q000175:diagnosis / Q000628:therapy
D005419:Flavonoids