Lower extremity venous disease: Reflux treatment

Document Type

Journal Article

Publication Date



Endovascular Interventions: A Case-Based Approach




© Springer Science+Business Media New York 2014. Lower extremity venous disease is extremely common where varicose veins remain the most frequently encountered venous condition followed by chronic venous insufficiency. Lower extremity venous disease comprises a clinical spectrum ranging from completely asymptomatic telangiectasias, to symptomatic varicose veins, to debilitating venous ulcers. Venous reflux, or venous insufficiency, is a condition in the veins where the one-way valves present within the lumen of the vessel no longer function properly, leading to valvular dysfunction and incompetence resulting in elevated venous pressure (venous hypertension). Venous reflux is most commonly found in the superficial venous system where the great saphenous vein is the most often affected vein. Endovenous thermal ablation of the superficial venous system utilizing radiofrequency or laser energy has become the preferred method to treat superficial venous insufficiency. This chapter describes the treatment of the most common sources of superficial venous reflux found in patients with symptomatic lower extremity venous disease.

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