Varicose veins Flashcards
What are varicose veins?
Superficial dilated tortuous veins
>3mm when standing
What causes varicose veins?
Venous valve incompetence
What are the most common sites of varicose veins?
Long saphenous 80%
Short saphenous 20%
What are the risk factors for varicose veins?
Female Incerasing no of pregnancies FH Age DVT Obesity
What is the presentation of varicose veins?
Leg fatigue/aching with prolonged standing Leg cramps Restless legs Corona phlebetica Venous eczema Lipodermatpsclerosis
What investigations are done for varicose veins?
Duplex US
What are the management options for varicose veins?
Lifestyle changes
Graduated compression stockings
Phlebectomy/sclerotherapy
Ablation
What lifestyle changes can treat varicose veins?
Weight loss
Leg elevation
Exercise
What are the phlebectomy/sclerotherapy options for varicose veins?
Stab avulsion
Sclerotherapy
What are the options for ablation of varicose veins?
Stripping and ligation
Radiofrequency ablation