[Specialized outpatient care for patients with initial forms of lower limb chronic venous insufficiency].
Authors present 7-year follow up of 567 patients with initial forms of chronic venous insufficiency (CVI) of lower extremities (442 patients with C-1 class and 125 patients with C-2 class). The analysis of individual clinical and ultrasonic data has shown wide variability and the lack of specificity in CVI symptomatology. Ultrasonic investigation revealed veno-venous reflux in 74.6% of patients with C-1 class. Complex outpatient care adhered the principles of minimal invasiveness and radicality, along with individual approach to surgical correction and drug therapy. Early (within 3 weeks) and late (3 and 12 months) outcomes were assessed, including trends in CVI subjective symptoms and objective evaluation of changes in superficial venous system. One year later full clinical and esthetic effect was achieved in 91.4% of C-1 class patients and in 75.8% of C-2 class patients.
Burleva
E P
EP
Denisov
R E
RE
D000328:Adult; D000553:Ambulatory Care / Q000379:methods*; D002908:Chronic Disease; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010045:Outpatients; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000000981:diagnostic imaging; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography; D014656:Vascular Surgical Procedures; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy*
D005343:Fibrinolytic Agents