Abstract
When Rene Leriche described the “obliteration of the terminal abdominal aorta” in 1923, his approach included an organized discussion of the clinical state, etiology, location of the problem and the involved pathophysiology.1 Such an organized approach to arterial disease has become well established in the modern era of vascular surgery since the 1940s. It is surprising that a similar organized approach to the venous system has lagged so far behind its arterial counterpart. Like the treatment of arterial disease, progress in the management of venous disease requires clear identification of four basic elements that describe the venous limb. Ultimately, by knowing the clinical symptom or sign, the etiology of the venous problem, the site involved and the physiologic abnormality, one can formulate a logical treatment plan for the patient.
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References
Leriche R. Des obliterations arterielles hautes (obliteration de la terminaison de l’aorte) comme causes des insuffisances circulatoires des membres inferieurs. Bull Mem Soc Chir (Paris) 1923; 49:1404
Beebe HG, Bergan JJ, Berggvist D et al. Classification and grading of chronic venous disease in the lower limbs, a consensus statement. Vasc Surg 1996; 30:5–11
Porter JM, Moneta GL, An International Consensus Committee on Chronic Venous Disease. Reporting standards in venous disease: an update. J Vasc Surg 1995; 21:635–45
Masuda EM, Kistner RL. Prospective comparison of duplex scanning and descending venography in the assessment of venous insufficiency. Am J Surg 1992; 164:254–9
Browse NL, Burnand KG, Thomas ML. Congenital venous abnormalities. In: Browse NL, Burnand KG and Thomas ML (eds) Diseases of the veins, pathology_diagnosis and treatment. Edward Arnold, London, 1988: 603–25
Kistner RL, Eklof B, Masuda EM. Diagnosis of chronic venous disease of the lower extremities: the “CEAP” classification. Mayo Clin Proc 1996; 71:338–45
Sarin S, Scurr JH, Coleridge Smith PD. Assessment of stripping the long saphenous vein in the treatment of primary varicose veins. Br J Surg 1992; 79;889–93
Burnand K, Thomas ML, O’Donnell T. Browse NL. Relation between postphlebitic changes in the deep veins and results of surgical treatment of venous ulcers. Lancet 1976; 936–38
Masuda EM, Kistner RL. Long-term results of venous valve recon struction: a four-to twenty-one year follow-up. J Vasc Surg 1994; 19:391–403
Semba CP, Dake MD. Catheter-directed thrombolysis for ilio-femoral venous thrombosis. Semin Vasc Surg. 1996; 9:26–33
Killewich LA, Martin R, Cramer M et al. Pathophysiology of venous claudication. J Vasc Surg 1984; 1:507–11
Palma EC, Esperon R. Vein transplants and grafts in the surgical treatment of the postphlebitic syndrome. J Cardiovasc Surg 1960; 1:94
Warren R, Thayer TR. Transplantation of the saphenous vein for postphlebitic stasis. Surgery 1954; 35:867
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Masuda, E.M., Kistner, R.L., Eklof, B., Yang, D. (2000). Practical Application of the CEAP Classification. In: Ballard, J.L., Bergan, J.J. (eds) Chronic Venous Insufficiency. Springer, London. https://doi.org/10.1007/978-1-4471-0473-5_5
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DOI: https://doi.org/10.1007/978-1-4471-0473-5_5
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1149-8
Online ISBN: 978-1-4471-0473-5
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