Dermatol. praxi. 2013;7(1):21-25

Modern treatment of chronic venous disease

doc.MUDr.Dalibor Musil, Ph.D.

I. interní klinika kardiologická LF UP a FN Olomouc

Chronic venous disease refers to any long-term morphological and functional changes in the venous system accompanied by symptoms

and/or clinical signs that require examination and/or treatment. Rational therapy is compression and surgical removal of insufficient venous

segments with ultrasound-demonstrated reflux. Whether it is achieved with classic surgery, sclerotization, or some of the mini-invasive

endovascular methods is not of importance. Venous pharmacotherapy relieves venous symptoms and reduces venous oedema of the lower

limbs; however, it should always be used along with compression. The best management for venous leg ulcers is class 3 compression and

local treatment unless insufficient epifascial veins (the saphenous veins in particular) and perforators can be removed surgically. In chronic

or large ulcers, compression therapy and local treatment can be effectively supported by pharmacotherapy with pentoxifylline or MPFF.

Keywords: compression therapy, pharmacotherapy, surgical treatment, sclerotization, endovenous thermal ablation

Published: April 1, 2013  Show citation