Journal «Angiology and Vascular Surgery» • 

2005 • VOLUME 11 • №2

SPECIALIZED OUTPATIENT CARE FOR PATIENTS WITH INITIAL FORMS OF LOWER LIMB CHRONIC VENOUS INSUFFICIENCY

E.P. Burleva, R.E. Denisov
Center of Cosmetology and Plastic Surgery, Urban Hospital №41,
Ekaterinburg, Russia

Authors present 7-year follow up of 567 patients with initial forms of chronic venous insufficiency (CVI) of lower extremities (442 patients with C-1 class and 125 patients with C-2 class). The analysis of individual clinical and ultrasonic data has shown wide variability and the lack of specificity in CVI symptomatology. Ultrasonic investigation revealed veno-venous reflux in 74.6% of patients with C-1 class. Complex outpatient care adhered the principles of minimal invasiveness and radicality, along with individual approach to surgical correction and drug therapy. Early (within 3 weeks) and late (3 and 12 months) outcomes were assessed, including trends in CVI subjective symptoms and objective evaluation of changes in superficial venous system. One year later full clinical and esthetical effect was achieved in 91.4% of C-1 class patients and in 75.8% of C-2 class patients.

KEY WORDS: chronic venous insufficiency of lower extremities, veno-venous reflux, urgical correction and drug therapy.

P. 75

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