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Varicose VeinTests an Krampfadern, VaricosityVarices. These images are a random sampling from a Bing search on the term "Varicose Vein.
Search Bing for all related images. Varicose veins are swollen, twisted veins that you can see just under the skin. They usually occur in the legs, but also can form in other parts of the body. Hemorrhoids are a type of varicose vein. Your veins have one-way valves that help keep blood flowing toward Tests an Krampfadern heart. If the valves are weak or damaged, blood can back up and pool in your veins. This causes the veins to Tests an Krampfadern, which can lead to varicose veins.
Varicose veins are very common, Tests an Krampfadern. You are more at risk if you are older, a female, obese, don't exercise or have a family history. They can also be more common in pregnancy. Doctors often diagnose varicose veins from a physical exam. Sometimes you may need additional tests.
Exercising, losing weight, elevating Tests an Krampfadern legs when resting, and not crossing them when sitting can help keep varicose veins from getting worse. Wearing loose clothing and avoiding long periods of standing can also help.
If varicose veins are painful or you don't like the way they look, your doctor may recommend procedures to remove them. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers.
Patients should address specific medical concerns with their physicians. Secondary Risk Factors Symptoms Signs: Specific Tests highest efficacy tests Imaging Management: Surgery Complications References Extra: Related Bing Images Extra: Definition Twisted, dilated veins most commonly located on the legs.
Pathophysiology Venous valvular dysfunction Venous wall loss of elasticity Valve leaflets fail to fit together Retrograde venous flow Pooling Tests an Krampfadern blood in distal and superficial veins Increased pressure in larger superficial veins Large veins become swollen, tortuous and elongated. Secondary See Venous Insufficiency Increased intravenous pressure e. Symptoms Often asymptomatic Symptom severity does not correlate with Varicosity severity Symptoms are more often worse in women Characteristics Local symptoms overlying Varicose Vein Pain Burning Itch ing Gene ralized symptoms Leg Fatigueheaviness or tension sensation Regional swelling or pain of the extremity Provocative Prolonged standing Palliative Sitting with legs elevated.
Imaging Indications Evaluate for venous thrombosis and Thrombophlebitis Define reflux, vascular architecture, Tests an Krampfadern, and valvular competence First-line tests Venous Duplex Doppler Ultrasound Other tests Venography Light reflex rheography Ambulatory venous pressure measurements Plethysmography. Conservative Nach der Operation von Krampfadern in als gehen External compression Elastic Compression stockings apply mm Hg, with decreasing pressure proximally Bandages Intermittent pneumatic compression devices Elevate the affected extremity Weight loss Avoid prolonged standing or straining Get regular Exercise Medications use with caution - most are unproven and may worsen edema Horse chestnut seed extract may improve edema Diehm Lancet Endovenous therapies Endovenous obliteration of saphenous vein Thin catheter insterted percutaneously into vein Catheter delivers energy to collapse and sclerose the vein Min J Vasc Interv Radiol 14 8: Surgery Background Higher complication rate and cost Better efficacy longterm than with conservative measures alone or with sclerotherapy Endovenous obliteration is too new for longterm comparison with surgery outcomes Barwell Lancet Complications See Venous Insufficiency.
References Jones Am Fam Physician 78 Related links to external sites from Bing. This may be caused by valves in the vein that don't work properly Tests an Krampfadern by weakness in the vein walls. Definition CSP dilated tortuous vein, usually in subcutaneous tissues of the leg; incompetency of venous valves is associated. Related Topics in Cardiovascular Medicine.
Surgery - Cardiovascular Medicine Pages. Back Links pages that link to this page. Search other sites for 'Varicose Vein'. National Heart, Lung, and Blood Institute. A vascular abnormality characterized by the presence Tests an Krampfadern enlarged and tortuous veins, particularly in the legs. A condition in which a vein, most often in the legs, Tests an Krampfadern, becomes permanently enlarged, twisted, and painful.
Disease or Syndrome T
Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg,  although varicose veins can occur elsewhere. Veins have pairs of leaflet valves to prevent blood from flowing backwards retrograde flow or venous reflux.
When veins become varicose, the leaflets of the valves no longer meet properly, and the valves do not work valvular incompetence. This allows blood to flow backwards and they enlarge even more. Varicose veins are most common in the superficial veins of the legs, which are subject to high pressure when standing.
Besides being a cosmetic Tests an Krampfadern, varicose veins can be painful, especially when standing.
Severe long-standing varicose veins can lead to leg swelling, venous eczemaskin thickening lipodermatosclerosis and ulceration. Although life-threatening complications are uncommon, varicose veins may be confused with deep vein thrombosiswhich may be life-threatening.
Non-surgical treatments include sclerotherapyelastic stockings, leg elevation and exercise. The traditional surgical treatment has been vein stripping to remove the affected veins. Newer, less invasive treatments which seal the main leaking vein are available. Alternative techniques, such as ultrasound-guided foam sclerotherapyradiofrequency ablation and endovenous laser treatmentare available as well. Secondary varicose veins are those developing as collateral pathways, typically after stenosis or occlusion of the deep veins, a common sequel of extensive deep venous thrombosis DVT.
Treatment options are usually support stockings, occasionally sclerotherapy and rarely, limited surgery. Varicose veins are distinguished from reticular veins blue veins and telangiectasias spider veinswhich also involve valvular insufficiency,  by the size and location of the veins. Many patients who suffer with varicose veins seek out the assistance of physicians who specialize in vein care or peripheral vascular disease.
These physicians include vascular surgeons, Tests an Krampfadern, phlebologists or interventional radiologists. Most varicose veins are reasonably benign, Tests an Krampfadern, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb.
Traditionally, varicose veins were investigated using imaging techniques only if there was a clinical suspicion of Tests an Krampfadern venous insufficiency, if they were recurrent, or if they involved the saphenopopliteal junction. This practice is not now widely accepted. Patients with varicose veins should now be investigated using lower limbs venous ultrasonography. The results from a randomised controlled trial on patients with and without routine ultrasound have shown a significant difference in recurrence rate and reoperation rate at 2 and 7 years of follow-up.
Varicose veins are more common in women than in men, and are linked with heredity. Varicose veins are unlikely to be caused by crossing the legs or ankles.
More recent research has shown the importance of pelvic vein reflux PVR in the development of varicose veins. Hobbs showed varicose veins in the legs could be due to ovarian vein reflux  and Lumley and his team showed recurrent varicose veins could be due to ovarian vein reflux. There is increasing evidence for the role of incompetent Perforator veins or "perforators" in the formation of varicose veins.
Varicose veins could also be caused by hyperhomocysteinemia in the body, which can degrade and inhibit the formation of the three main structural components of the artery: Homocysteine permanently degrades cysteine disulfide bridges and lysine amino acid residues in proteinsgradually affecting function and structure.
Simply put, homocysteine is a 'corrosive' of long-living proteins, Tests an Krampfadern, i. These long-term effects are difficult to establish in Tests an Krampfadern trials focusing on groups with existing artery decline.
Klippel-Trenaunay syndrome and Parkes-Weber syndrome Tests an Krampfadern relevant for differential diagnosis.
Another cause is chronic alcohol consumption due to Tests an Krampfadern vasodilatation side effect in relation to gravity and blood viscosity. Treatment can be either conservative or active. Active treatments Tests an Krampfadern be divided into surgical and non-surgical treatments.
Newer methods including endovenous laser treatmentradiofrequency ablation and foam sclerotherapy appear to work as well as surgery for varices Tests an Krampfadern the greater saphenous vein. The National Institute for Health and Clinical Excellence NICE produced clinical guidelines in July recommending that all people with symptomatic varicose veins C2S and worse should be referred to a vascular Varizen und der Grad for treatment.
The complications include deep vein thrombosis 5. There is evidence for the great saphenous vein regrowing after stripping. In addition, since stripping removes the saphenous main trunks, Tests an Krampfadern, they are no longer available for use as venous bypass grafts in the future coronary or leg artery vital disease , Tests an Krampfadern.
There is tentative evidence that conservative hemodynamic correction of venous insufficiency method CHIVA which works to save the veins, decreases varicose veins and is safer than vein stripping in those with chronic venous insufficiency. A commonly performed non-surgical treatment for varicose and "spider" leg veins is sclerotherapyin which medicine sclerosant is injected into the veins to make them shrink.
Foams may allow more veins to be treated per session with comparable efficacy. Their use in contrast to liquid sclerosant is still somewhat controversial. Sclerotherapy has been used in the treatment of varicose veins for over years.
Complications of sclerotherapy are rare but can include blood clots and ulceration. Anaphylactic reactions are "extraordinarily rare but can be life-threatening," and doctors should have resuscitation equipment ready. There are three kinds of endovenous thermal ablation treatment possible: Complications for ELA include minor skin burns 0. The longest study of endovenous laser ablation is 39 months. Two prospective randomized trials found speedier recovery and fewer complications after radiofrequency ablation ERA compared to open surgery.
Complications for ERA include burns, paraesthesia, clinical phlebitis and slightly higher rates of deep vein thrombosis 0. Steam treatment consists in injection Tests an Krampfadern pulses of steam into the sick vein.
This treatment which works with a natural agent water has similar results than laser or radiofrequency. ELA is performed as an outpatient procedure and does not require an operating theatre, nor does the patient need a general anaesthetic. Doctors use high-frequency ultrasound during the procedure to visualize the anatomical relationships between the saphenous structures. Some practitioners also perform phlebectomy or ultrasound guided sclerotherapy at the time of endovenous treatment.
Follow-up treatment to smaller branch varicose veins is often needed in the weeks or Tests an Krampfadern after the initial procedure. Steam is a very promising treatment for both doctors easy introduction of catheters, efficient on recurrences, ambulatory procedure, easy and economic procedure and patients less post-operative pain, a natural agent, fast recovery to daily activities. This condition is most common after age There is a hereditary role.
It has been seen in smokers, those who have chronic constipation and in people with occupations which necessitate long periods of standing such as lecturers, nurses, conductors musical and busstage Tests an Krampfadern, umpires cricket, javelin, etc.
From Wikipedia, the free encyclopedia. For other uses, see Varices. This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. January Learn how and when to remove this template message. Archived from the original on July 6, Tests an Krampfadern, Zakrzepica — Medycyna Praktyczna: J Dermatol Surg Oncol.
Hardcover Text, Tests an Krampfadern, 2nd Ed. Journal of Medical Genetics. Duke University Health System. Retrieved March 1, Int J Clin Pract.
Journal of Vascular Surgery: Venous and Lymphatic Disorders. European Journal of Vascular and Endovascular Surgery. The Cochrane database of systematic reviews. The diagnosis and management of varicose veins. National Institute for Tests an Krampfadern and Care Excellence.
Retrieved August 25, In Davy A and Stemmer R eds. Eur J Vasc Surg. The Cochrane database of systematic reviews 6: Annals of Vascular Surgery. Tisi, Paul V, Tests an Krampfadern, ed.
Injection sclerotherapy for varicose veins". Cochrane Database Syst Rev 4: Australian and New Zealand Journal of Phlebology. Rigby, Kathryn A, ed. J Tests an Krampfadern Interv Radiol.
Eur J Vasc Endovasc Surg. Diseases of the Human Body. Cardiovascular disease vessels I70—I99Tests an Krampfadern, — Arteritis Aortitis Buerger's disease. Carotid artery stenosis Renal artery stenosis.
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