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| UDK 616.14-008.315 |
ISSN 0350-2899, 34(2009) 1 pp.46-50 |
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Review Acute and Chronic Venous Insufficiency (Akutna i hronična venska insuficijencija) Slobodan Cvetković (1), Ilija Kuzmanović (1), Dragica Jadranin (1), Miroslav Marković (1), Ilijas Činara (1), Lazar Davidović (1), Živan Maksimović (1), Nenad Ilijevski (2) (1) KLINIKA ZA VASKULARNU HIRURGIJU, INSTITUT ZA KARDIOVASKULARNE BOLESTI KCS, BEOGRAD (2) KLINIKA ZA VASKULARNU HIRURGIJU, INSTITUT ZA KARDIOVASKUALRNE BOELSTI «DEDINJE», BEOGRAD |
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| Summary: Acute
venous insufficiency (AVI) could be defined as sudden blood flow
obstruction at the level of superficial or deep veins. It is
characterised by acute development and is caused by deep vein
thrombosis, superficial thrombophlebitis, rupture of varicose vein
or by venous wall injury. Current approach to diagnosis of AVI
incorporates anamnestic data development, clinical examination and
venous duplex imaging. Bleeding and pulmonar embolism are the most
serious complications of AVI. The treatment of AVI depends on its
etiology and should be carried out at internal or surgical
departments or at clinics specialized for vascular surgery. Chronic
venous insufficiency (CVI) is usually defined as venous system
disfunction caused by venous valve incompetence and blood reflux,
isolated or combined with venous obstruction. Clinical
manifestations include progressive venous stasis, leg oedema and
characteristic skin changes such as pigmentations,
lipodermatosclerosis and ulcers. Diagnostic evaluation include
history, physical examination through the application of functional
tests and different noninvasive procedures (ColorDuplex scan
ultrasonography being the most important one). In problematic cases
phlebography should be done. Treatment modalities for CVI today
vary, depending on its cause, from local therapy (wound care), drugs
use and compressive bandage (external support of the extremity) to
complex venous reconstructions for both reflux and obstructive
problems. Key words: venous thrombosis; varicose vein rupture; venous injury; venous insufficiency; postthrombotic syndrome; Doppler duplex ultrasonography; compressive bandage.
Napomena: kompletan tekst rada na srpskom
jeziku |
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| Contact address: Slobodan Cvetković Klinika za vaskularnu hirurgiju IKVB KCS, ul.Koste Todorovića 8, 11000 Beograd Email adresa: boban63@verat.net |
Paper received: 31.03.2009. Paper accepted: 08.04.2009. Published online: 21.05.2009. |
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