University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Mail stop LKS 3038, Cleveland, OH, 44106, USA.
Northern Light Eastern Maine Medical Center, Bangor, ME, USA.
Curr Cardiol Rep. 2019 Aug 30;21(10):114. doi: 10.1007/s11886-019-1201-1.
Venous disease is common. Depending on the population studied, the prevalence may be as high as 80%. Significant chronic venous disease with venous ulcers or trophic skin changes is reported to affect 1-10% of the population. A systematic assessment of the clinical findings associated with chronic venous disease will facilitate appropriate imaging. Based on imaging and assessment, patients with reflux or obstruction can be recommended proper medical and endovascular or surgical management.
Many types of endovascular management are available to treat reflux and eliminate varicose veins and tributaries. More recently adopted non-thermal non-tumescent techniques have been shown to be comparable with more widely performed laser or radiofrequency ablation techniques. A thorough clinical assessment, appropriate duplex ultrasound imaging, and use of advanced imaging when needed will allow clinicians to optimize therapy for patients with chronic venous disease based on the etiology, anatomy involved, and the pathophysiology.
静脉疾病很常见。根据研究的人群不同，其患病率可能高达 80%。据报道，有明显的慢性静脉疾病伴有静脉溃疡或营养性皮肤改变，影响了 1-10%的人群。对与慢性静脉疾病相关的临床发现进行系统评估将有助于进行适当的影像学检查。基于影像学和评估，可以向有反流或阻塞的患者推荐适当的药物、血管内或手术治疗。
有多种血管内治疗方法可用于治疗反流和消除静脉曲张和属支。最近采用的非热非肿胀技术已被证明与更广泛应用的激光或射频消融技术相当。彻底的临床评估、适当的双功能超声成像，以及在需要时使用先进的成像技术，将使临床医生能够根据病因、受累解剖结构和病理生理学为慢性静脉疾病患者优化治疗。
